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Septic New 162 Hillside Drive
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_— /�Ifi A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: 1. Owner of Propert 1 Address of Owner (a — Ale 14 Cl 2. Location of Property_ lAt. � i �Il� f` L r Lot. No. 3. Type of Structure )l.l 1rc I(I VX No. of Bedrooms_ (Dwell fig,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ (6 o A 5. Plumbing Fixtures: Water Closets / Urinals Lavatories `i Bathtubs _ Showers " Kitchen Sinks_ _ Laundry Tubs Garbage Grinder+�Other 6. Liquid Capacity of Septic Tank 11 UL-6 rf O Material of Septic Tank ` n'! 7. Soil Conditions: Type of Soil 75(-t, Maximum ground water table Ln f (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 V drop in soil test U rt' <'-�J : Classification of soil__ 11. Minimum square feet of effective seepage area required 12. Leaching System: Number of trenches_ Length 4/ � Width r / Total Other Signature (Licensed Installer) (Sketch showing all minimum distant 11 other details required below) Permit Issued 19 By Installation Completed, Inspected and Approved 19 By LoT h H I LLS IDE DRIVE SCrUTH .W*NGGUFRq Comm* -? THERE ARC, Mp V IQLAT 1046 ©1- THE ZCM INQ LAWS 01r THE l�r TOWN OF SOUTH WfNfleoP I cl- 9 LOT AREA 23voo6SQ. J00 f9 I b t 4 0`B.L: 4,0 I )f �? I r. HILLSIDE D ?"! Vf , OAMI 6* KOMI$ &XC _Sou-YFi. WIMDS.OR ;. LOTS"-' 3;2 50* 62-»66 S"GAS lE }AI�9♦ P iME'. c*E,a ` t` RIC V Ii lrC!^ !` R.EQ 13• llMbt�""EIErR PRCP SED LAVbVT x } FOR ALLCN SR"0W1�r SOUTH W 1 03 OR COMM.r a z I Ho 3Y CFRTWY y SL3 �A TT`IALLY Eta GME£RING AvNO LANC3^•'I UAVEYi' �2v �\ .4:. CO-R EST; 740 140.,MAIN STRIKP-T.,CROBsftoADs Pi,Az,► v" aet 4 57 ,2 rll�E$'t' HARTF0*0 1.�coktact"' ifT . %635,