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HomeMy WebLinkAboutSeptic New 29 Greenfield Drive Y , TOWN OF SOUTH WI N DSOR BUILDING DEPARTMENT South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System Application No. TO THE BUILDING DEPARTMENT: Date 3 / 19 A permit is requested for repair or construction of an individual sewage disposal system concerning whi-c following information is bmitted: / 1. Owner of Property dress rof Owner.(O � � S0 2. Location of Propert Lot. No. 03 3. Type of Structure No. of Bedrooms (Dwellin Commercial BuiM.... Store,etc.) 4. Number of Families or Persons to Occupy Premises_ 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 d 4041 t=Wu 7. Soil Conditions: Type of Soil Maximum ground water table (StMd,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 Length264F7- idt �ii TotalS1a S!9AT Other Signature (rAcensed Insta e ) (Sketch showing all minimum distances and other details required below) Permit Issued 19 By l' ' Installation Completed, Inspected and Approved—_2� / of 194 By_�c✓C_/ J UNfT8: ELECTRIC: s CONs-RUCT40N'. W^TER: HEIGHT: GAS. CONDITION : S.EWER: REMARKS : PAVE© 1`: �a ZaJ o 0 0 C) co a14 ra ,3o i 'At i OWNER: .r4 CS M {CLAN OF LA NO AT: Ao RE$S: SaL.4-1VAN AVE. IWIMPYORN/✓ DATE: SCALE: �= o H-AmpD'EN COUNTY BOOK OF PI,..ANS: P'A6E NO: LOT NO: /j� �(�' WALL ICI PLAN NO. DEED BOOK': MAss. Lic. No. E`N GIN r.CR1NIS COMPANY INC. P AGE No": 53%+ 6ot, WH'IT� gT. .!�PRIIVORIICLCR.t�lAS