HomeMy WebLinkAbout0054 FRAZIER WAY - Health �5� � c�o� oo �
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LOCATION13
1 Vc� SEWAGE #
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- VILLAGE ( n" 1 I ASSESSOR'S MAP & LOT C7- C
INSTALLER'S NAME&PHONE NO. ['m�►
SEPTIC TANK CAPACITY l r--®0 .-IT
LEACHING FACILITY: (type) a. �1ed (size) S7—cAe,
NO.OF BEDROOMS
BUILDER OR OWNER' S - l7 C'�i,•c��a
PERMIT DATE: 13 -I&-- COMPLIANCE DATE: `f—
Separation Distance Between the: .•; k
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
3