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HomeMy WebLinkAboutSeptic New 11 Alpine Drive TOWN OF SOUTH WI N DSOR \ BUILDING DEPARTMENT South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System Application No. TO THE BUILDING DEPARTMENT: Data ) Cif n F', Of 19 co A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: 1. Owner of Property U N- 0 a(A S�i A) Address of Owner 1(0��`5��_ ) 2. Location of Property0l s+.W ( (,g-+ J1Ti! 5-) 44PYA11 —J>/111J Lot. No. I (o 7 3. Type of Structure d t L�� n � Dwelling,Commercial Building,Store,etc.) No. of Bedrooms 4. Number of Families or Persons to Occupy Premises_ 5. Plumbing Fixtures: Water Closets C2. — Urinals Lavatories_ Bathtubs 1 Showers_ Kitchen Sinks _ Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tank 1 5 Material of Septic Tank Y1 C'. P,`r_ "*r ` 7. Soil Conditions: Type of Soil Maximum ground water table (land,Gravel,Clay,etc.) 8. If not served by public water supply: Distance from Owner's well 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 - 7, © Classification of soil 11. Minimum square feet of effective seepage area required 6D 12. Leaching System: Number of trenches Length-.--,:(Or) Width /2 Total li Other Signature (Licensed Instal (Sketch showing all minimum distances and other details r ired below) ry N o C Z. of Permit Issued 19 By Installation Completed, Inspected and Approved 19 By � 0 141 ry Ns, ry �� 0 5 n LOT #1679 "BIRCH BILL ESTATES" SECTION T7 TOWN OF SOUTH WINDSOR, CONNECTICUT `S CAT. 1„ � 4O I SCALE: I '`p rI 44395 Rockville, Conn.