HomeMy WebLinkAboutSeptic Repair 117 Hillside Drive � ,a TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT IP04*11T
ONG K NOW South Windsor, Connecticut Ala. 70— O
Application for Permit to Install or ai (IIndividy�11 Sewage Disposal System
Applicatio No. *&/I<79P—/
TO THE BUILDING DEPARTMENT: Date (/ 19 <(�
A permit is requested for air or construction of an individual sewage disposal system concerning which the
following information is submitted: ' / r
1. Owner of Property &_/p G/!� ddress of Owner Z!`2
2. Location of Property_Vo J 4 Lot. No.- 7
3. Type of Structure
(Dwelling,Commercial Building,Store,etc.) No. of Bedrooms
4. Number of Families or Persons to Occu Premises_
5. Plumbing Fixtures: Water Closets du Urinals "'" Lavatories Bathtubs
Showers Kitchen Sinks ndry Tubs Garbage Grinder Other_�T/ i
6. Liquid Capacity of Septic Tank V1 Material of Septic Tank
?. Soil Conditions: Type of Soil AE—
Maximum ground water table ,,
( n ,Grav ,Clay,et .)
8. If not served by public water supply: Distance from Owner's well from adjacent wells S Aaf
9. Distance to nearest water course, drainage ditch, sto m l*fFV60
ment
10. Percolation Tests: Time for 1" drop in soil testlass ion of soil
11. Minimum square feet of effective seepage ar a required
12. Leachin g ystem: Number of trenc s-�[ Leng Width
��. Total
Other �0
Signature Mle
4TINceTised Ins it r
(Sketch showing all minimum distances and other details required
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4
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Permit Issued f f V&4PJ E 1970 By A14R.F w IF
Installation Completed, Inspected and Approved a 3 `�u nl t= 19 7-c:1 al
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