HomeMy WebLinkAboutSeptic New 629 Deming Street TOWN OF SOUTH WI N DSOR • E2H/T � �
BUILDING DEPARTMENT
e,0,vo,c( Na "640A6 South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. /oos-7o—a.
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TO THE BUILDING DEPARTMENT: Date (�'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 Z— /Y-01 9 D Address of Owner_
2. Location of Property 1kw/�- Lot. No.
3. Type of Structure��/drdrLL/�/'fr No. of Bedrooms _
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ _�(/C t`— l Z— 7
5. Plumbing Fixtures: Water Closets_ Urinals �. Lavatories _ Bathtubs_
Showers Kitchen Sinks _ Laundry Tubs Garbage Grinder Other.�jCTG
6. Liquid Capacity of Septic Tan Material of Septic Tank OiAll
7. Soil Conditions: Type of Soil t' -�/�'j/t' L�L. Maximum ground water table
(Band,Wavel,Cray,etc.)
8. If not served by public water supply: Distance from Owner's well fro a ' cent wells
9. Distance to nearest water course, drainage ditch, storm,d-ain or embankment
10. Percolation Tests: Time for 1" drop in soil test Classification of soil d
11. Minimum square feet of effective seepage area required
12. Leaching ystem: Number of trenches LeI
h Width Total
Other
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Signatur
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(Sketch showing all distances and other details required ow)
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Permit Issued oS 19 73 By r
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