HomeMy WebLinkAbout0597 MAIN ST./RTE 6A(W.BARN.) - Health s97 •r�s.�,v rmer
IreJ��!lv�1B/E /�2
/ /
161 tt..LNESS �'vr
i
i
i
i
I
w
S M E A
ft 24MY
UPC 12M
OMMULMM • ueft In use
TOWN OF BARNSTABLE
LOCATION SEWAGE#
VILLAGE ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY.(type) I size) LI6 V,X
NO.OF BEDROOMS
OWNER J\ 1 i),
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
,idge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) Feet
FURNISHED BY :zx
vvft)�A Aooel
A
g c
3 A.
N.IF.- BM,I
74
�5