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LOC'ATiON CAN-- �/Q/4,4 ---)R SEWAGE #
ViI,LAGE, W&Ie✓�A�lf. ASSESSOR'S MAP & LOT23 0S'6 .
rNSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACIL=: (type) (size)
NO.OF BEDROOMS /
BUILDER OR OWNER ��AM /i�I�C 7dN
PERMTTDATE: COMPLIANCE DATE:
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
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