HomeMy WebLinkAbout0304 PARKER ROAD - Health i �
TOWN OF B STABLE
LOCATION' l 4kX04'' t V�- '4+ 3C Le W is SE�' - WAGE # Z04Z-440
VILLAGE ASSESSOR'S MAP & LOT114 67 40/
INSTALLER'S NAME&PHONE NO. lat , L�J
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type)
NO. OF BEDROOMS
BUILDER OR OWNER eJ�' /'l'�C�Gt;✓ =�
PERMITDATE: i-O*C-7 U� COMPLIANCE DATE: ®3
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) Feet
Furnished by
ISA
r r 1
A 6
LSD
liD -=2 rl
r rzrl
TOWN
p Or4of
STABLE f•'�"'
LOCATION 3C1 P�RkE"� ►1 Ce�,�s
SEWAGE # 10dZ-e0�
VII-CAGE ASSESSOR'S MAP&LOT 16 67 r,
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY 00
LEACHIIVG FA
WA
CILTTy: (type.) ,� sixrt�
NO.OF BEDROOMS `' z
BUILDER OR OWNER -
PERMTTDATE: lelir OZ.
COMPLIANCE DATE: 03
Separation Distance Between the:
I
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Fat I!
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) I
Edge of Wetland and Leaching Facility(If any wetlands exist Feet
within 300 feet of leaching facility)
Furnished by Feet
------------
15.4
�L
Ab, 0 LSD
,
A Vo r � , N
_
�& -3
i