HomeMy WebLinkAbout0172 WEST WIND CIRCLE - Health (2) 0
N S M EADR
KEEPING YOU ORGANIZED
No. 12134
2-153LGN
SUSTAINABLE FORESTRY MIN.RECYCLED
INITIATIVE CONTENT10%9
Certified Sourcing POST-CONSUMER
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SR-01290
MADE IN USA
GET ORGANIZED AT SMEAD.COM
TOWN BARNSTABLE
LOCATION �U/'fT SEWAGE# 22`.2®
_ VILLAGE ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. ®S-2�S'!J-���.�✓ps e /,c�ii!�'O S
SEPTIC TANK CAPACITY /ppb
LEACHING FACILITY: (type), —/�-',�O�' /�11� ize)
NO.OF BEDROOMS
II. .OWNER Sral ��///✓O
PERMIT DATE: S'—. (�— 2:� COMPLIANCE DATE: �".ZS':�2
Separation Distance Between the:
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
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