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Home My WebLink AboutSeptic New 16 Greenfield Drive 'OWN OF SOUTH WI N DSOR BUILDING DEPARTMENT South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System Application Now. TO THE BUILDING DEPARTMENT: Date - oZ 19� A permit is requested for repair Qr construction of an individual sewage disposal system concerning which the following information is su mitted: 1. Owner of Property Address of Owner w� 2. Location of Property 7z)-2 IV; Lot. No. �a3 r 3. Type of Structure A No. of Bedrooms kyWelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ ©1 j-1 5. Plumbing Fixtures: Water Closets C>2— Urinals 0 Lavatories C-Zl— Bathtubs Showers_ Kitchen Sinks` Laundry Tubs Garbage Grinder Other I 6. Liquid Capacity of Septic Tank Z Pk- "Q_�Material of Septic Tank /�- �r'�D /o� �1leoct�'� 7. Soil Conditions: Type of Soil c Maximum ground water table (Sand, ravel,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 44 Length / .SO FT Width 2. S Total.37�_ Other — Signature (Licensed Installer) (Sketch showing all minimum distances and other details required below) Permit Issued 19 By Installation Completed, Inspected and Approved 19 By �ow� -.._ 'JN .�,y F� ter 1 'I � � : t f....•i - �� Orto =4. sour# wZOVIP o.e y,E�syis . 3 _ g S2' ` !Do•oo v � to 4.00 CI 14 • `� t � , w h 4 --- _� size a. 16r& 7s b Q ��"� �� t ,tee :..� � �,B�N�4�/Ar®LEA►! _z4 1 6 ' r= cl N - 10000, N32 r af'E' '.? .t 'IL•� Z?fiz I V j f f. /3 OFALwAt ; 4.04 �, aiRs ts7` i�lci Sax 13- sau7•�/ t0iaso =�'o. � -UAT.'�i� 006 ;_ 1 46o. NOD ! ►L-A .+ ..r ► - T _ .