HomeMy WebLinkAboutSeptic New 64 Brook Street ttI rt .
To help locate your sewer connection on the main line, please show
Where you would like the connection by drawing a line From the house or
the septic tank to the main line in the street. Also., install stake in yard
to indicate line as shown on sketch. IF-you have any doubt please contact
the Town Engineering Department.
Please draw important information such as driveways, large trees
and other obstructions.
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PLEASE MAIL THIS FORM IMMEDIATELY TO:
DAMES S. MINGES & ASSOC. , INC.
C. The Exchange
Farmington Avenue
Farmington, Connecticut 06032
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TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT w
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System1//�
Application No.
TO THE BUILDING DEPARTMENT: Date- _t? /// 19
A permit is requested for repair or construction of an individual sewage disposal system concerning whf6h the
following information is submitted: (C)�w 1
1. Owner of Property�a/�j�i-ri �.d le Address of Owner
2. Location of Property l7 Sir o o
Lot. No.
3. Type of Structure I h e. No. of Bedrooms_
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_6
5. Plumbing Fixtures: Water Closets_' Urinals Lavatories _ Bathtffubs___L____
Showers_ Kitchen Sinks� Laundry Tubs -- Garbage Grinder. ^Other9�u'Co r o..
6. Liquid Capacity of Septic Tank O Material of Septic Tank /
7. Soil Conditions: Type of Soil Maximum ground water table b
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(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 emba4rn�'
10. Percolation Tests: Time for 1" drop in soil test Ciae% cation of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Widt TotaL�r/
Other
Signatur
(Licensed Installer)
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t.. (SC_cetch showing afl,-ft nitnum distances and other details-required below-)--------
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Permit Issued 19 By
Installation Completed, Inspected and Approvedf� !