HomeMy WebLinkAboutSeptic New 75 Deming Street TOWN OF SOUTH WI N DSOR
Q� BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. gW7l&6?-/
TO THE BUILDING DEPARTMENT: Date. /b % 19�9
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 -14-0Ns�hl�. ��ZA+�/[.°O Address of Owner .TAM*—
2. Location of Property Tom" . g'*',JV C SrA IfrF'f Lot. No. r $
3. Type of Structure b j--td-e&N No. of Bedrooms-3
(Dwelling,Commercial Building,Store,a .)
4. Number of Families or Persons to Occupy Premises_ /4/11!L
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder q Other
6. Liquid Capacity of Septic Tank "73V lfftj Material of Septic Tank 4-DAl 'E.l�AM
7. Soil Conditions: Type of Soil C.t.'4r! Maximum ground water table
(Salp,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well !7'S i"7 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 trenches Si Length sK CIi Width30 [A" Total /S" 7
Other
Signatur
Liceenseed IIn er) /TT/
and other de aids required below)
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Permit Issued_ ke 19 e-% By
Installation Completed, Inspected and Approved 19 By