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HomeMy WebLinkAboutSeptic New 551 Fpster Street A 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.41 ' a TO THE BUILDING DEPARTMENT: Date / / 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 =' � �'E' - Address of Owner- 2. Location of Property /ly ��� Lot. No. 3. Type of Structure No. of Bedrooms 3 (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ l 5. Plumbing Fixtures: Water Closets Urinals Lavatories ,=V— Bathtubs Showers Kitchen Sinks Laundry Tubs Garbage Grinder iLo Other 6. Liquid Capacity of Septic Tank G�. C'7 © Material of Septic Tank ' .' 7. Soil Conditions: Type of Soil Maximum ground water table (sand Gravel, lay,etc.) r � / f/ N� 8. If not served by public water supply: Distance from Owner's well U from adjacent wells �U ! r. 9. Distance to nearest water course, drainage ditch, storm drain or embankment 10. Percolation Tests: Time for 1" drop in soil test z Classification of soil. - C 11`. NtWiix um square feet of effective seepage area required i 12. Leaching System: Number of trenches Length � Width Total Other tc6nsed Signatu In($ketch showing all minimum distances andr it below) , n6 u 12ooQ 4l--4 'fd y 4 Y Y Permit Issued 19 By Installation Completed, Inspected and Approved 19 By