HomeMy WebLinkAbout0930 PUTNAM AVENUE - Health �577-c�c�� �' C c�du,*
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LOCATION 401 1 0124 rh Aae- SEWAGE # 7
VILLAGE Co XV,-L ASSESSOR'S MAP& LOT 0.5 1 00�
INSTALLER'S NAME&PHONE NO. 11,411VA' OWS-rlrwe/.a0 10919,�t6
SEPTIC TANK CAPACITY I Sa d GG L
LEACHING FACILITY: (type)cat,11,l•S (size) 7 '1 yl Y 3 0
NO. OF BEDROOMS 3
UILDER OWNER P
Lr6 b�e
PERMITDATE: 96 COMPLIANCE DATE:` — i
Separation Distance Between the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility S� Feet
Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) ill, Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) J Feet
Furnished by
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