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HomeMy WebLinkAboutSeptic Repair 42 Hillside Drive TOWN OF SOUTH WINDSOR �EE �RID BUILDING DEPARTMENT PElelk+rr gy Gi+�ek 3�,/S South Windsor, Connecticut nLn• '?1-l g Application for Permit to Install o Repai Individual Sewage Disposal System Application No. TO THE BUILDING DEPARTMENT: Date 19 A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: ''11 1. Owner of Property-Z6'62 A5 A-. kla"Ac� Address of Owner q1 L4.Stl -bAl V 2. Location of Property -CA l Lot. No. 2 3. Type of Structure �t1lNC No. of Bedrooms (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises ©t9E t tl FA"l t-.y 5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tank E ictzT IN 9 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 Length Width 2,S GT Total Other 0AG zo to,c to D2V WEt.A- Signature Ot.z cl (Licensed Ig�qgtaller) Aa ge xv FF t A/9-3s439o, (Sketch showing all minimum distances and other 1e�ails required below) Permit Issued -L6,4PAIA, 19 ^7/ By Installation Completed, Inspected and Approved 29 &,Z/,L 19_7j- By full n 1 V s2� EK1 sTlns (p 0 �o SOUTH OUiH art ��y:�S 2t= i�C}_� c.�i'lt n� CONTROL 0''��n i C TiVoMAi �. IA�A�CRc0 C F vio ri SEPric QFpA1R_ S T n,( L r_ P 2-kFF C w9-3 c439o) i