HomeMy WebLinkAbout0008 LEONARD ROAD - Health (2) 49 8'-� 3
of
A 2 w
No. 42101/3 BGR
11%
TOWN OF BARNSTABLE
LOCATION 6Si0�Ar� 1��• SEWAGE #
VILLAGE OrnrV116- ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY IOn
D
LEACHING FACILITY: (type) 1 �� (OX (size)l r
NO. OF BEDROOMS C
BUILDER OR OWNER /GQAArC
PERMITDATE: COMPLIANCE DATE:
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 leachi g facility)T Feet
Furnished by ,l ASPL l on J D/
A B
33 a�
a8 3r
3 ly Go
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