HomeMy WebLinkAboutSeptic Repair 49 Ash Road Y
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TOWN OF SOUTH WI N DSOR A -,e M,.r
� � ��'�� BUILDING DEPARTMENT
South Windsor, Connecticut /fit' -70"7-'
Application for Permit to Install o Re ai Individual Sewage Disposal System
Application No. oY& 7E.--{
TO THE BUILDING DEPARTMENT: Date. /�Srs"PTEr�IA��,� 19 7U
A permit is requested for a air. r construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of PropertyCf ��� �/�l�ccr Address of Owner �eq �/i
2. Location of Proper Lot. No.
3. Type of Structure -hE0.5-A-,L1fJ No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises OMECIl FAMIA-Y
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank TWO 0-1 ?says Material of Septic Tank doNCRET'i5
7. Soil Conditions: Type of Soil et"I6� Maximum ground water table
(San 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 37S Sr( FT
12. Leaching System: Number of trenchesFcuR 04) Lengthls'o ft3-r- Width=-C F'r Total37S5R irT
Other
Signature
(License er)
(Sketch showing all minimum distances and of er details required beio�4)
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Permit Issued i �Ei�''��'d/3.c t2 19_Z_
Installation Completed,Inspected and Approved JW S�-PTSiMBEQ 19_7 0 By r
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