HomeMy WebLinkAbout0141 THISTLE DRIVE - Health (3) -Tr
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WNOFBARSTABLE
CATION SEWAGE # >�
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v'II.LAGE/ �5'`� � �J/ / ����'�°►SSESSOR'S MAP &I oT l' '03�
INSTALLER'S NAME&PHONE NO. 1446 C14JV(fb �77-5 d '
SEPTIC TANK CAPACITY 6Xvrlj�-Jr 941
LEACHING FACILITY: (type) �' �� �/�� � (size)
NO.OF BEDROOMS 3 ' a
BUILDER OR OWNER �� �
PERMTTDATE:_,--, OMPLIANCE DATE:
Separation Distance Between the: f: 9
Maximum Adjusted Groundwater Table totheBottom 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 y >
:., within 3Q0 feet of leaching facility) . :=Feet Y;
! Furtushed,by
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TOWN OF BARNSTABLE
-� TION Iq ^ S A? 0r • SEWAGE #
VILLAGE
Ole ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. M r '^
SEPTIC TANK CAPACITY /y� !�i
LEACHING FACILITY: (type) (size) L.
NO.OF BEDROOMS .3
BUILDER OR OWNER
PERMIT DATE: I �d 11 ' COMPLIANCE DATE: f o /as r
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
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