HomeMy WebLinkAboutSeptic New 22 Charing Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Applic7,`
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TO THE BUILDING DEPARTMENT: Date / 19
A permit is requested for repair o bollstruction of an individual sewage disposal system concerning which the
following information is sub�i' ted: Q Q fo��cy
1. / 1
Owner of Property / Address of Owner 4'C' �
2. Location of Property2 Lot. No. 7
3. Type of Structure swelling,Commercial Building,Store,etc.) No. of Bedrooms
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4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lav ories�, Bathtubs_
Showers Kitchen Sinks / Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank f M 4r'ro k/ Material of Septic Tank—f-4y2g��
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Clay,etc.)
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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 U . Du Classification of soil
11. Minimum square feet of effective seepage area required /
12. Leaching System: Number of trenches Length Width �3 Q Total
Others
Signature
Licensed Installer')
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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F. PROPERTY OF
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'ass F NO. CHARING ROAD SOUTH WINDS,OR, CONN.
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Beira-g _LotNo ._ 17 _onma ��---- - _ p entitled_ W-hilshire- Wo-o-ds- -Sect-i-on- 14 ---- -
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Subdivision Map Prepared for Ross Hahn South Windsor, Cottn, John
J. Mozzochi Associates Scale i" 401 10-25-164!*
Scale V 40 �"_ -