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HomeMy WebLinkAboutSeptic New 551 Foster Street • y TOWN OF SOUTH WI N DSOR BUILDING DEPARTMEN-T South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System Application No.40 ' o TO THE BUILDING DEPARTMENT: Date 'i /Z© 19_11 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 L6,1 7w If--; .'t Address of OwnerAi- 2. Location of Property -14 71 Lot. No. 3. Type of Structure *eAa llo. of Bedrooms (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ 5. Plumbing Fixtures: Water Closets �� Urinals Lavatories —7— Bathtubs Showers Kitchen Sinks �ll Laundry Tubs Garbage Grinder itio Other _ i, 6 V Liquid Capacity of Septic Tank Z d Material of Septic Tank — 7. Soil Conditions: Type of Soil Maximum ground water table (sand lay,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 (/ 'i 1:9. Percolation Tests: Time for 1" drop in soil test Classification of soil Q - C-- 1'1 `Minfillum square feet of effective seepage area required S 12. Leaching System: Number of trenches Length Q Width Total Other Signature is need I (Sketch showing all minimum distances and the tails r i below) , �a 1 zoo 4 i-"dL 'fu y 4 Y 4 Permit Issued 19 By Installation Completed, Inspected and Approved 19 By f 1 SO,ftl PORPOSES ONLY it A9, 6� Vil o �`'�'4ty Rtv Jtfr�r t ar' f b t. n 4