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HomeMy WebLinkAboutSeptic Repair 134 Brook Street TOWN OF SOUTH WINDSOR r'E Alin Pay BUILDING DEPARTMENT nlO, .�d,�cic ��• `7so South Windsor, Connecticut Application for Permit to Install ore r Repair Individual Sewage Disposal System Application No. e s 1(."7(—3 TO THE BUILDING DEPARTMENT: Date_ l'_ dOa L c 19�� A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: 0 1. Owner of Property Jp.H 6s H©�I s Address of Owner f 3 �✓.2ae c ����e r 2. Location of Property SAME Lot. No. 3. Type of Structure 'bW-LLJ M i No. of Bedrooms (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premise s_dntE u) rAM 1 t u 5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tank Ctct� Material of Septic Tank6o.VeR ETt9 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 7-� FT 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 trencheTyY0 ci) Length /SOFT Width Zs Orr Total 375'sq Lr Other Signatu*er)q (Sketch showing all minimum distances and detail s rveq�� ow Permit Issued 4 A4ejL 19 71 y Installation Completed, Inspected and Approved 19 AAerc 19 -2 By i I 1 1 �b b� H d�J 1 2-01 SOUTH J i�V. �;t i��i_i ft f�J LON ROL LO(ATI \! _/3+ S^owc Sr*ser . Ili?AtNv1`li-3y - 144r- 1rt/N is 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,zhowri•on sketch. IFyouu have °any doubt please contact the-Town Erigineering Department_' Pleased raw important in ForrriattonTsuch as driveways, Iarge:trees and other obstructions_ t - PLEASE NAIL: THIS FORM IMMEDIATELY TO: JAMES S. NiINGES & ASSOC., INC. The Exchange ; Farmington Avenue Farmington, Connecticut oeo32 Z0T t N # # YOvIN k� L71 / / . tZ 94 �T. _,