HomeMy WebLinkAbout0542 MAIN ST./RTE 6A(W.BARN.) - Health �� h P::c,Yn S
TOWN OF BARNSTABLE
LOCATION - A EMI\r, SA SEWAGE# �0 V7 - 3 LI�
`dILLAGE � c.,(,&"tA SSOR'S MAP&PARCEL I?J�o) o
INSTALLER'S NAME&PHONE NO. 9 09 a e Li 00(®�
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size)
NO.OF BEDROOMS
OWNER
PERMIT DATE: 7 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 leaching facility) Feet
FURNISHED BY i
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TOWN OF BARNSTABLE
LOCATION�� i�`� S SEWAGE#=v,-1,P
VILLAGE UJ i'f-%OZ�I�Q ASSESSOR'S MAP&PARCEL
iNR'S NAME&PHONE NO.�cr`� �C.(L ® J0 s3ruLl I
SEPTIC TANK CAPACITY [X0
LEACHING FACILITY:(type) �VQ�C� (size) ® X L130-
NO.OF BEDROOMS
.OWNER. t 12,11 jn
PERMIT DATE: C E DATCT1,c P r Oi
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
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TOWN OF BARNSTABLE
LOCATION SEWAGE #�1.,5 ,9 tin
VILLAGE ASSESSOR'S MAP & LOT/,
III NAME&PHONE NO �_r��Akn� ► �(ZF—i-h9
SEPTIC TANK CAPACITY !ems (
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LEACHING FACILITY: size
(type) (size)
NO. OF BEDROOMS
tin11v\
BUILDER OR
P : -7 � (3s'
PERMIT DATE: C• SATE 1
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
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TOP�OyF BARNSTABLE I�� ®_
LOCATION SEWAGE# 410
`nI.LAGE 601 YL�5�:6 '13e£ ASSESSOR'S MAP & LOT JVW - d/6
INSTALLER'S NAME&PHONE NO. ,J?/ChCAX,6 ln&mirlol—
SEPTIC TANK CAPACITY J 0Zx1.
LEACHING FACILITY: (type) 04.7 e t .2i,1f (size) ao X3o
NO.OF BEDROOMS
BUILDER OR OWNER `AT-BA-Vt/'- Ca etJXO$t/
PERMITDATE: COMPLIANCE DATE:
Separation`Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility 141& Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) A/A Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) e _'A A Feet
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