HomeMy WebLinkAbout0526 MAIN ST./RTE 6A(W.BARN.) - Health (2) ���lo ��
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C, TOWN OF BARNSTABLE
LOCATION � � dy,(q" SEWAGE #
VILLAGE E � ���,{j � ASSESSOR'S MAP & LOT
INSTALLER'S NAME & PHONE NO. SC-"J
SEPTIC TANK CAPACITY 1 Coo
LEACHING FACILITY:(type) Tc t rN (size)
NO. OF BEDROOMS r�PRIVATE WELL OR PUBLIC WATER f>u k
BUILDER OR OWNER
DATE PERMIT ISSUED: J�qy Z9 y
DATE COMPLIANCE ISSUED:
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VARIANCE GRANTED: Yes No
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LOCATION ��� VlCk�r, SEWAGE# a Gol(J' — ! �0 1
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VILLAGE WAS SESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. S-�L<
SEPTIC TANK CAPACITY +VAK. Z OWC
LEACHING FACILITY-(type) '(size) X a,T Y c.*1r1(�\:
NO.OF BEDROOMS�� � . •
OWNER c�� M k c „�, `(�c-cc<
PERMIT DATE: L COMPLIANCE DATE:
Separation Distance Between the: I �
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility :6 /6 ( t,5-
Private Water Supply Well and Leaching Facility(If any wells exist on
site or within 200 feet of leaching facility) Feet
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Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) Feet
FURNISHED BY
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