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HomeMy WebLinkAboutSeptic New 323 Felt Road TOWN OF SOUTH WI N DSOR - BUILDING DEPARTMENT South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System �7 }� Application No. TO THE BUILDING DEPARTMENT: Date -c 19 6 G a. 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— Address of wner > 4J C h Y S 2: Location of Property r �� 323 ELT /�dAD Lot. No._ 3. Type of Structure � ;,u { " 1 �' A No. of Bedrooms �r (Dwelling,Co mercial Building,Store,etc.) - 4. Number of Families or Persons to Occupy Premises_ 5. Plumbing Fixtures: Water Closets Urinals Lavatories_ Bathtubs_ Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other l 6. Liquid Capacity of Septic Tank �Z) Material of Septic Tank C,In r v c 1 7. Soil Conditions: Type of Soil Maximum ground water table (Saiid,Gravel,Clay,etc.) 8. If not served by public water supply: Distance from Owner's well from adjacent wells 9. Distance to nearest water course, drainage ditch, storm drain or embankment is L 10. Percolation Tests Time for 1" drop in soil test Classification of soil 11. Minimum square feet of effective seepage area required J 12. Leaching System: Number of trenches Length 2 o Width G Total Other �65CO � 7 Signature (Licensed Installer) (Sketch showing all minimum distances and other details required below) 4L i +3 } Permit Issued 19 By Installation Completed, Inspected and Approved lg By 150.00' I^ 3j i I ) i94 0 23' pe 64' 25' � 43,t pf"�' t I55�* i i F E' --r ROAST 3 PERMIT PLAtV LOT #94, BIRCH HILL ESTATES SECTION #4 TOWN OF SOUTH WINDSOR, CONNECTICUT SCALE: l" = 40' .�� . . ,., ..� L.S. 4395 '74N 26. Iq GG Rockville, Conn. PERK-ULA i 1ON RA'TC = 4 ,4 w N-/iN.