HomeMy WebLinkAboutDrain Layers Permit 0630 Avery Street (2) TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
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Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. ��o
TO THE BUILDING DEPARTMENT: Date�1 Gf C T� tz , 1944
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: /�
1. Owner of PropertYAW G^1-1410'A AAC b 11 VALQ Address of Owner_
2. Location of Property / IL' -O Lot. No.
3. Type of Structure uj C—L Z / #J No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises. O P F �
5. PlumbingFixtures: Water 1 "—�"e Closets Urinals Lavatories � >B""athtubs�_
Showers_ Kitchen Sinks/'L�undry Tubs "— Garbage Grinder Other_L�f�,� 1
6. Liquid Capacity of Septic Tank /.J (7 OR- • Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table
(Band,Gravel,Clay,etc.)8. If not served by public water supply: Distance from Owner's well 010 _from adjacent wells ISY
9. Distance to nearest water course, drainage ditch, storm lr�ain or embankment 0 FY'
10. Percolation Tests: Time for 1" drop in soil test d' Classification of soil (Q
11. Minimum square feet of effective seepage area required. j� /
12. Leaching System: Number of trenches_ Lengt40 -9M9� Width_ Z Total p�
Other
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SignatuAi
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cense Installer)
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By