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HomeMy WebLinkAboutSeptic New 00 Ellington Road 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. 19 � A permit is requested for repair or construction of an individual sewage dispo al system concerning which the following information is submitted: 1. Owner of Property Addre of O �ner 2. Location of Property Lot. No. 3. Type of Structure No. of Bedrooms�� (Dwellin ,Commercial Building, tore,etc.) 4. Number of Families or Persons to Occupy Premises_ 16 -5 Q/V S 5. Plumbing Fixtures: Water Closets Urinals Lavatories_/ Bathtubs Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tan Material of Septic Tank 7. Soil Conditions: Type of Soil - Maximum ground water table Sand,Gra el,Clay,etc.) 8. If not served by public water supply: Distance from Owner's well from adjacent wells d 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 r 11. Minimum square feet of effective seepage area required d 6 4' G l 12. Leaching System: Number of trenches_ Length O Width ��2— Total © � l Other '�� Signatur / / (I:icensed Installer) (Sketch showing all minimum distances and other details required below) Permit Issued 19 By Installation Completed, Inspected and Approved_, 19 By r7 it 10- IVNO Y4 l `_ V` .,/� -ram.�%•.�- _ �. :�. �•,:�',�.�:, � R♦ �� � . Ij �• � 0: Rio - s-64-5"' IV- • 4CO� - 49 • • y .y :' __ _ ,... .. .: -Vie_': ".�--_.,..., -.-r:.,.S. ....,x.'� ,.. �,x. �._ yt�-_�,�- .�-.. .. ._. -....F.. .> 'S.-r �rrF' .�. - tK- 1♦'e .r..: �-s -. -. � �'�. - .apw���"�k i3s• 5 :��:''�Y�t.-c�._-•C+IP1111��d+9C��'��^sa"��� -WS_ t� '-i �3�' �F�rd.aa�.it$.,.�:Sa..,�.., �,. ,= z����.1�����-..._. ��:�