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HomeMy WebLinkAboutSeptic New 701 Governor's Highway TOWN OF SOUTH WI N DSOR 0-PA//z BUILDING DEPARTMENT ��d �� �© South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System Application No. TO THE BUILDING DEPARTMENT: Dat z 3c 19.9 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 Address of Owner_-7-a/ Sc-%01;MiVoz-:1 2. Location of Property ,w Lot. No. T 3. Type of Structure c No. of Bedrooms (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_CAN 8 G) A4 it V 5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tank Material of Septic Tank 7. Soil Conditions: Type of Soil Maximum ground water table (Sand,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 10. Percolation Tests: Time for 1" drop in soil test Classification of soil 11. Minimum square feet of effective seepage area required 12. Leaching System: Number of trenches 43) Length Width tcr Total 3 75' Other N , Signature ensed ns er) (Sketch showing all minim n distances and other details required below) / tid a �o NwA Permit Issued 1949 By f7�. 47. ✓A�/� Installation Completed, Inspected and Approved 4V 19-4- _ By A..& AtVyg JZ