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HomeMy WebLinkAboutSeptic New 34 Blue Ridge Drive TOWN OF SOUTH WI N DSOR BUILDING DEPARTMENT South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System 3LLLtti�. 1 . Applica ion No. TO THE BUILDING DEPARTMENT: Date 19 $ A permit is requested for repair or construction of an individual sewa disposal system concerning which the following information is submitted: 1. Owner of Property ".4address of Owner_-� yy1.Y1� 2. Location of Property Lot. No. A5 �/ ' & Type of Structure Lt�E �� �q No. of Bedrooms 7 (Dwelling,commercial Building,S re,etc.) 4. Number of Families or Persons to Occupy Premises_ 5. Plumbing Fixtures: Water Closets 13 Urinals Lavatories_ - f� Bathtubs_ Showers Kitchen Sinks__ Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tank 1.-2 Material of Septic Tank 7. Soil Conditions: Type of Soil Maximum gyound water table (Sand, rp el, ay,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 �s classification of soil 11. Minimum square feet of effective seepage area required i 12. Leaching System: Number of trenches Length vC Width Total Other Signature (Licensed Install (Sketch showing all minimum distances and other details req below) i Permit Issued 19 By Installation Completed, Inspected and Approved 19 By y � IS�oI �t57 1 BO.O© ' A F3) �p 7 i r Ce 4 9 221 1 1 I I O . O Dom. F--� U R M { NJ LOT #1L "BIRC'H HILL, ESTAT " SFC-T " 47 til_ ..IO:. .'7 `.'OWN 0. "'0 LIT I WINDSOH, CONNECTICUT S CA L.?. 1" -- 0 ' -.3a -d8` Rockville . Conn. t t - 6