HomeMy WebLinkAbout0063 OCEAN AVENUE - Health a
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TOWN OF BARN/ST�ABLE
LOCATION SEWAGE#
VILLAG (/I SS SSOR'S MAP&PARCEL �(� A
'INSTALLERS N &PHONE NO. �
7_pp �
SEPTIC TANK CAPACITY
LEACHING FACILITY:(ty e)` LC-6 CIA ssize). /a .9
NO.OF BEDR OMS OWNER 26kJ2Cf1nq
PERMIT DATE O" 2 COMPLIANCE DATE: z `"
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 �y
within 300 feet of leaching facility) 0 Feet
FURNISHED BY
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