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HomeMy WebLinkAbout0267 SHOOTFLYING HILL RD - Health _. �� r � � � - - - � - - /--=4 / .j � �/ 1 � � i f/4 Z(o-7 TOWN OF BARNS T ABLE LOCATION -7-0 4 EWAGE # VILLAGE � f ASSESSOR'S MAPf& INSTALLER'S NAME&PHONE NO. /'6C / <25 r SEPTIC TANK CAPACITY LEACHING FACE ITY: (type) , / C (size) yy fry NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: "` !� Ar— COMPLIANCE DATE: e' 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 �� T/ 9,&e�4xopoe, d o�