HomeMy WebLinkAbout2644 MAIN ST./RTE 6A(BARN.) - Health 4q
4
TOWN OF BARNSTABLE 40
LOr;ATION ItA 5�Y&1- SEWAGE #
VILLAGE 110y'015�06I?. ASSESSOR'S MAP &LOT g�bO�o
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY VzLi Poe)-
LEACHING FACILITY: (type) (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMITDATE: COMPLIANCE DATE:
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 offieaching facili ) Feet
Furnished by -- _ --- — J
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