HomeMy WebLinkAbout0019 CARL IRMA DRIVE - Health �&,--A stR-bl�
TOWN OFBARNSTABLE
LOCATION (R 0,�RL::7AMANJV6 SEWAGE# got 4-.—N-7
VILLAGE 9AWS'I A-6L6 ASSESSOR'S MAP&PARCEL 93-7 S
INSTALLER'S NAME&PHONE NO.CApe-oyttk&mepriuggs 'l-gg Z`1
SEPTIC TANK CAPACITY 1500 &,A4-L-009
LEACHING FACILITY: (type)C E[.O��f fT V3 k-;-P.S (size)
NO.OF BEDROOMS EC1`yZ(P& bG$I �1J(0�
OWNER JCF� S .I ILL, L-r--VE5&0L'
PERMIT DATE: Jam' -a@((a COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility NIA Feet
Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) IUD A Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
300 feet of leaching facility) L_ � A Feet
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