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HomeMy WebLinkAboutSeptic New 16 Allen Drive 4 TOWN OF SOUTH WINDSOR y BUILDING DEPARTMENT /1k• -7 4 0#0n& ,� , �Qg South Windsor, Connecticut J-Ale), Application for Permit to Install or Repair Individual Sewage Disposal System Application No. TO THE BUILDING DEPARTMENT: Date 19 A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: n 1. Owner of Property f- zze^1 Address of Owner �� //tL�n! 2)Q/ye 2. Location of Property SR•N,6- Lot. No. 3. Type of Structure bW c-I-LI.4)Q No. of Bedrooms (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises ©rOE ef) f--A.a.4g-V 5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic TankMg-s Jq•—7, Material of Septic Tank �o,Je�Te 7. Soil Conditions: Type of Soil sa u.b Maximum ground water table (Sand,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 Classification of soil 11. Minimum square feet of effective seepage area required 12. Leaching System: Number of trenches 2 C¢ Lengthh� ,GEEI Width a.$ FT Tota137S ?FT Other Signatur ,�QQ�(i n ai s4S^Ji&rW It/ 1W 3S981�1 (Sketch showing all minimum distances and otherbitea is required belowl' Permit Issued a6 4,0n)J, 19 ?/ By Installation Completed, Inspected and Approved Z�ZO216 ........... IV *9 2. ?�L 40� 40 ��- 5—013 ri +{� iy:�S +' i�r '_i.'.:i�c CONTROL , 0(A f®N _ /(o .4&to,f bl&1JE fj -7l-ILPIPE 4 � l k S TALLE R ADAm IWO-3S98/Z) __^__-.