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HomeMy WebLinkAboutSeptic New 415 Chapel Road t. TOWN OF SOUTH WI N DSOR BUILDING DEPARTMENT South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System Application No. TO THE BUILDING DEPARTMENT: Date / — ZO ^ 19 6� A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information i ubmitted: 1. Owner of Property Address of Owner 2. Location of Property /S l stJK5,007W © Lot. No _ 3. Type of Structure i No. of Bedrooms (Dwelling,Coriftercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ 5. Plumbing Fixtures: Water Closets 2 Urinals Lavatories Bathtubs_ Showers Kitchen Sinks,_ Laundry Tubs Garbage Grinder �Other 6. Liquid Capacity of Septic Tank d S f • Material of Septic Tank t� O /?G i^e-�e- 7. Soil Conditions: Type of Soil Maximum ground water table_&0 (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 n� /n1)TeC Classification of soil 11. Minimum square feet of effective seepage area required a 7!5— 59. let, 49 12. Leaching System: Number of trenches %a Length Width '� D Total 3 •S4� Other Signature cenaed Installer)2� (Sketch showing all minimum distances and other details required below) Permit Issued 19 By Installation Completed, Inspected and Approved 19 By �,.s •`a � 1tr,.�• � . J _ ;y, ka: 1 40 IN zoo-- —•o v�`C�/?"� lam✓/�V.�.',�"'G,�e�"' �"��1�/�/,