HomeMy WebLinkAbout4424 FALMOUTH ROAD/RTE 28 - HAZMAT aa2q .0 -Z(3 Cc)�., '�-
TOWN OF BARNST LE
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c( gy R'r n Nffi" Il, W SEWAGE # G(0- al
V _D ALLAGE C u ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY /oyd 6(e4 i- SeP�,L
LEACHING FACILITY: (type) P-T �oX6^ (size) a sioAA,
NO. OF BEDROOMS BUILDER OR OWNER Ca ,, 661� 4- �CIC� &A r1
PERMITDATE: COMPLIANCE DATE: r� ,
Separation Distance Between the: - �5 _s
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by ?'/LTGcr,'!�u-� 3 FD� /0 a6 D(e
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TOWN OF BARNSTABLE
CO-1 �711 SOVAGIi M
VILLAGE Er V��� ASSESSOR'S MAP & LOT 2�
INSTALLER'S NAME PHONE NO.
SEPTIC TANK CAPACITY \O O O ovkly vJ
LEACHING FACILITY (type)
NO. OF BEDROOMS 3 PRIVATE WELL O BLICeWA7TB
.BUILDER OR OWNER e a 6-la Ir Cc
DATB PERMIT ISSUED: lg �
DATE COLIPLIANCB ISSUED:
VARIANCE GRANTED: Yes No �C
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1.000 00 StG-jA
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