HomeMy WebLinkAboutSeptic Repair 39 Alison Drive t 1i
TOWN OF SOUTH Wt N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install o Re ai- Individual Sewage Disposal System
Application No.-/arobb9—/
TO THE BUILDING DEPARTMENT: Date CA 6&Ta AAA- 19 V7
A permit is requested fo a air r construction of an individual sewage disposal system concerning which the
following information is submitted:,/ /f
1. Owner of Property 1i4rt� % . JeZV*r/la Address of Owner_ '3Q
2. Location of Property Saw-g Lot. No.
3. Type of Structure -bW&w^1 No. of Bedrooms 3(Dwelling,Commercial Building, tore,etc.)
4. Number of Families or Persons to Occupy Premises_PKt4U Z^t t X
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks C� Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic TanAMSTIMQi Material of Septic Tank 7Sa
7. Soil Conditions: Type of Soil SANG Maximum ground water table
(Sand,Gravel,Clay,etc.) (�
8. If not served by public water supply: Distance from Owner's wel A-1 C— from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches £ 3 LengtkJ I!Q a Q S Width Total 3 a r 131
Other
' Signature
(Licenaed�jne er
!Q AL. /'V. ,IA n/ T4. — WQ- 3-SA7g6
Sketch showing all minimum d*ston me nn ni
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Permit Issued gra C-rOA.S L 19 WV pp r
Installation Completed,Inspected and Approved. e +
9 . raB2 4 19� Byl Ll• '