HomeMy WebLinkAbout0210 OLD JAIL LANE - Health (2) of oroj-ffi�, 64qr.z
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TOWN OF BARNSTABLE Of /I/a//O(a -
LOCATION Q10 O/ A'L 4-4 SEWAGE #J00J
VILLAGE X99K ASSESSOR'S MAP & LOT_J�;"^-J
INSTALLER'S NAME&PHONE NO. J —Z4c)c74 d.
SEPTIC TANK CAPACITY IS 0 ell-
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LEACHING FACILITY: (type) y &V (size)
NO. OF BEDROOMS
BUILDER OR OWNER
PERMIT DATE: O�—IS ®1� COMPLIANCE
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 Facili If any wetlands exist
within 300 feet of lyv/.,
aci Feet
Furnished by
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