HomeMy WebLinkAboutDrain Layers Permit 609 Foster Street Q A TOWN OF SOUTH WI N DSOR 2
BUILDING DEPARTMENT
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G� South Windsor, Connecticut
Application for Permit to Install or Repair Individual Disposal System
Sewage Dis System
Application Qo.
TO THE BUILDING DEPARTMENT: Date
19�
A permit is requested for repair or construction of an individual sewage disposal syst m concerning which the
following information is su fitted
I. Owner of Property tile- 3 Address of Owner
2. Location of Property____ —
3. .Type of Structur Lot. No..
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(Dwelling,commercial Building,Store,etc.) No. of Bedrooms
4. Number of Families or Persons to Occu Premises_
5. Plumbing F'xtures: Water Closets Urinals Lavatories
Bathtubs
Showers Kitchen Sinks La ry Tubs Garbage Grinder �� �
/�. Other
6. Liquid Capacity of Septic Tank_ `f a G&& Material of Septic Tank
7. Soil Conditions: Type of Soil Y
( a d, ravel,clay,etc.) Maximum ground water table
8. If not served by public water supply: Distance from Owner's wel r
from djacent wells ,
9. Distance to nearest water course, drainage ditch, sto in dr in embankment
10. Percolation Tests: Time for 1" drop in soil test �/'
_ Clas ' cation of soil 'p
11. Minimum square feet of effective seepage area required
12. Leaching System_: Number trenches Length Widt
C G -r TotaI
Other f o C h CJ
GL-P l Signature f 1 r
� sed ns I r) /
(Sketch showin mimum distances and other details required below)[ &V
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Permit Issued !a� /,L 19 �7v
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Installation Completed, Inspected and Approved C2 2 Le 19 ?a
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To help locate your sewer connection on-the main line, please show
where you would like the connection by drawing a line From the house or
the septic tank to the main line in the street. Also, install'stake in yard
to indicate line as shown on sketch. Ifyou have any doubt please contact
the Town Engineering Department. ,
Please draw important information such as driveways, large tress
and other obstructions.
PLEASE MAIL THIS FORINA IMMEDIATELY TO:
JAMES S. MINGES & ASSOC. , h'IG.
The Exchange
Farmington Avenue
Farmington, Connecticut 06032
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