HomeMy WebLinkAboutSeptic New 152 Dart Hill Road 40,
TOWN OF SOUTH WI N DSOR Id
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BUILDING DEPARTMENT '0
South Windsor, Connecticut 4 Cc 4
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: DateL_V _', 1 L/ 19 _
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property 2-114 k)no-� a /h o�' Address of Owner f_'S Z _ /
2. Location of Property ,
Lot. No.
3. Type of Structure tam I D^r No. of Bedrooms_
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets / Urinals Lavatories / Bathtubs 1
Showers_ Kitchen Sinks__ Laundry /Tubs_ Garbage Grinder_— Other
6. Liquid Capacity of Septic Tank_ O a:l. Material of Septic Tank_,
7. Soil Conditions: Type of Soil w Maximum ground water table .7 -P A
(Band,Gr vel,Clay,etc.)
i
8. If not served by public water supply: Distance from Owner's well from adjacent wells 7 .
9. Distance to nearest water course, drainage ditch, storm drain or embankment e- cj- n
10. Percolation Tests: Time for V drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches _ 3 Length f Z 7 Width RT�'�_ _' . Total-3 Ze-
Other
Signature
i&=�
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
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IK A Jt �R �r1� 'ft6fw
Permit Issued 19 By
Installation Completed, Inspected and Approved oS _ 19 G B
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