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Septic New 229 Felt Road
TOWN OF SOUTH WINDSOR `��� BUILDING DEPARTMENT ' South Windsor, Connecticut ���'� 8 Application for Permit to Install or Repair Individual Sewage D posal Syste Applicatio o. TO THE BUILDING DEPARTMENT: Date r 19 A permit is requested for repair or construction of an individual sewage disposal system c cerning which the following information is submitted: 1. Owner of Property � M r ►V IV )PAS' Address of Owner--- 2. Location of Property It �r�� Lot. No. 3. Type of StructureJ 1 t��1�nrn No. of Bedrooms_ (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ vl r e� ,n/P 5. Plumbing Fixtures: Water Closets / Urinals Lavatories �_ Bathtubs______ Showers Kitchen Sinks_` Laundry Tubs_ Garbage Grinder Other 6. Liquid Capacity of Septic Tank/, b 6 Material of Septic Tank - -,c 7. Soil Conditions: Type of Soil r►a ve, Maximum ground water table =1 0 i (Sand,Gravel,Clay,etc.) 8. If not served by public water supply: Distance from Owner's well Zr -f- from adjacent wells 9. Distance to nearest water course, drainage ditch, storm drain or embankment gg 10. Percolation Tests: Time for 1" drop in soil test `� JM I/►sJ' Classification of soil_r/' i 11. Minimum square feet of effective seepage area required 7 S— i 12. Leaching System: Number of trenches Length�J'7`fi (d Width 3f) Total /rD Other Signature.x .. .{ I LicensedInstaller) (Sketch showing all minimum distances and other details required below) 3� � t 1 1 � 87,1 i ► E` Permit Issued 19 By \ U� Installation Completed, Inspected and Approved—IL©e ro E/Z ig 6 By �.