HomeMy WebLinkAbout2259 MAIN ST./RTE 6A(BARN.) - Health OOM4 -I
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TOWN OF BARNSTABLE
T1OCA:Tiot4i, SEWAGE # - O
VILLAGE ASSESSOR'S MAP & LOT z37-3y-0,2
INSTALLER'S NAME&PHONE NO. A� q(, gLftaA��
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) �� (size) O
NO.OF BEDROOMS c�
BUILDER ORC WNER0
PERMTTDATE: aL — S— �'1 COMPLIANCE DATE: 77
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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
j Furnished by
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TOWN OF BARNSTABLE
LOCATION — Kl=r(r,+V SEWAGEf�# pe� - -5-
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VILLAGE= : ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. z.��cr�c'i � "7-7 t-R-7st
SEPTIC TANK CAPACITY !g OZQ 41 Ad-
LEACHING FACILrrY: (type)itr-t�n&cG 4- 6to r (size) JL .Li-/X-E�
NO.OF BEDROOMS
BUILDER R OWNER
PERMIT DATE: - 3 1 - b COMPLIANCE DATE: -3" ; z �L
Separation Distance Between the:
Maximum Adjusted Groundwater Table and 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 `` girD��i
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