HomeMy WebLinkAbout1455 OLD POST ROAD (CT & MM) - HealthFl
�55
c
TOWN OF B ARNST
ySs COST C� LE W
LOCATION � .-�. SEWAGE #
VILLAGE CUT' ASSESSOR'S MAP & LOT O C2" M7
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY ��b�.
LEACHING FACILITY: (type) P+ Gx (size)
NO.OF BEDROOMS 3 Q
BUILDER OR OWNER
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
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) r l Feet
Furnished by 1/lfOe -noel J FD/G
^ • k
i
� A
Q � �
A
r a-a �-
�- aq 10 Y
3 ay 113
Y
36 3-�