HomeMy WebLinkAbout0573 MAIN ST./RTE 6A(W.BARN.) - Health St.j k)
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TOWN OF.BAHIDWSABLE
LOCATION 513 tYl ai n 5-t SEWAGE# 1 O 1 S *3 17
VILLAGE U.D Ba rr\S1a;Jlc ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. Z�e 3 EX r—a\/aL4;o✓\
SEPTIC TANK CAPACITY 1 SO O 4a.1 'TANK Re o ►+n�n� a ruL� l
LEACHING FACILITY:(type) (size)
NO.OF BEDROOMS
OWNER nianG. LjojSVN
PERMIT DATE: 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
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TOWN OF BARNSTABLE
ItOCATION �] '� �o�.al SEWAGE #
VILLAGE ASSESSOR'S MAP & ,LOT
INSTALLER'S NAME & PHONE NO. C'.iAp� ¢ CIQQt®G
SEPTIC TANK CAPACITY le- < 42co�
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LEACHING FACILITY:(type) 451C QtT (size)
NO. OF BEDROOMS _3 IVATE WE PUBLIC WATER
BUILDER OR OWNER D-, A fl� 64-e t(
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: / , a C2'
VARIANCE GRANTED: Yes No
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I H S T A L Lf R'S NAME ADDLES
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BUILD-ER O/R� OWNER
DA- TE PERMIL, ISSUED
DAT E Co MPLJA,NG E IS-SUED
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