HomeMy WebLinkAbout1583 MAIN STREET (OST.) - Health 4 .;..v ....:... .. i. t•...
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TOWN OF BARNSTABLE
LOCATION Sal m0,1w ST����� SEWAGE #—�►�`5 � n�,
VILLAGE Cz�S70-1-aA ASSESSOR'S MAP& LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACM=: (type) (size)
NO.OF BEDROOMS 3
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BUILDER OR OWNER pt<ra., -
+ERWTDATE: 3�t Z�til COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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 4Q.�
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