HomeMy WebLinkAboutSeptic New 691 Governor's Highway TOWN OF SOUTH WI N DSOR 3 �BUILDING. DEPARTMEN-T
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date. S' IOT' 30. 19 6�
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
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1. Owner of Property /�'` J 1 / ! /N Address of Owner 1/E/wO k-� Ale#1U/kV
2. Location of Property -N of L:' Lot. No.
3. Type of Structure 1/14 L_C, / Al No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_aAJ E F4 41 1 L
5. Plumbing Fixtures: Water Closets / Urinals Lavatories Bathtubs
Showers_ Kitchen Sinks_ ` Laundry Tubs `^ Garbage Grinder = Other
6. Liquid Capacity of Septic Tank COO 641-° Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table__ C Ir—'7—
(Band,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well- NUO C- from adjacent wells/V
9. Distance to nearest water course, drainage ditch, storm drain or embankment 0 AI&
10. Percolation Tests: Time for 1" drop in soil test 44111 rf 0 A) Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Lengt Width-9- TotalAf7 c
Other do A/ 0 C f A; ev o/L L2 P- OML G 0 P `
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Signature
c ed Installer)
(Sketch showing all minimum distances and other detai uired below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By