HomeMy WebLinkAbout0960 PUTNAM AVENUE - Health 7
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LOCATION .1 Z 24 AN PO e SEWAGE #
VILLAGE ��g,1 w� ASSESSOR'S MAP& LOT AU-Dv I-Tom
INSTALLER'S NAME&PHONE NO. &CICS Ib4D' C4) fSy
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) ( (size) 4S S�- l
NO.OF BEDROOMS `-tt
BUII DER R OWNER ?C&C—k iS12 pc- t�
PERMTTDATE: �- g' 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 of leaching facility) Feet
Furnished by
Opole A
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