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HomeMy WebLinkAboutSeptic New 21 Berle Road A TOWN OF SOUTH WINDSOR eo4rrcaaror- BUILDING DEPARTMENT 2MlT �Y— m South Windsor, Connecticut 71 Application for Permit to Install or Repair Individual Sewage Disposal System Application No.4 -247I' f TO THE BUILDING DEPARTMENT: Date .T— ✓ z 4/ 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 CF?Rlo P1LA!E;S•r'J L.CrjQ Address of Owner 2. Location of Property 21 &L-ALE AaAz Lot. No. 3. Type of Structure 'bW 6LL1 No. of Bedrooms (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises C 2fi E (1) i 5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tank 9 Material of Septic Tank 4:2 0�U e*. 7. Soil Conditions: Type of Soil 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 4- /NMIyTES Classification of soil 11. Minimum square feet of effective seepage area requiredt2S nr POr,e ,BED ngts •r©r'AA. ex Sea FT r-- 12. Leaching System: Number of trenches - (3) Length.204 FT Width 2.s F•r, Total 47t0 SR FT Other Signature-''�L � o�+ %+ —'(Licensed Installle/err)�) (Sketch showing all minimum distances and other�� aI s required ow)(` Permit Issued 19;7 By -/1Ze�,ri, Installation Completed, Inspected and Approved 08 wNE 19Z 33v TOWN OF SOUTH WINDSOR TOWN HALL SOUTH WINDSOR, CONN. 06074 DEPARTMENT POLLUTION CONTROL Date .v: . s1�. . . . . . . U . The Sanitary Sewer . . . . . . . . ... . . . . . . . . Septic System . . . . . . . . . . atF . . . . . . . . . . . . . . . . . . . or lot # 7. . . . . . . . has been installed and completed in accordance. with the Town of South Windsor ordinances and regulations. Accepted and Approved By _. Date