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HomeMy WebLinkAbout0615 MAIN STREET (HYANNIS) - Health �615 Main Street Hyannis A - 308 - 120 �I '�� 1. �� 1'� TOWN OF BARNSTABLE LOCATION SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEL,f0r,/et0— OU rT INSTALLER'S NAME&PHONE NO. I SEPTIC TANK CAPACITY �j lLf LEACHING FACILITY.(type) (size) NO.OF BEDROOMS n OWNER Li PERMIT DATE: COMPLIANC TE: 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 FURNISHED BY TOWN OF BARNST'ABLE LOCATION 41 ' CLL.n_ SEWAGE# VILLAGE ASSESSOR'S MAP&PARCEQW,/.10 c�A INSTALLER'S AME&PHONE NO. -Z- SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size)%� o J NO.OF BEDROOMS/ D OWNERU U L-1-M 1i a-- IOC! �O-/Zl�layC_ PERMIT DATE: COMPLIANCE D TE: 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 �URNISHED BY