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HomeMy WebLinkAboutSeptic Repair 79 High View Road TOWN OF SOUTH WI N DSOR Kee A1-D BUILDING DEPARTMENT .4�� � _���3 South Windsor, Connecticut /40 Application for Permit to Install o epai6 Individual Sewage Disposal System Application No.... g 7G;i?/-i TO THE BUILDING DEPARTMENT: Date r-).Z Jam.I-� 19 'l 1 A permit is requested for epair r construction of an individual sewage disposal system concerning which the following information is submitted: 1. Owner of Property Joys✓.r 6%A—IiA wr- Address of Owner "7 P1cHoI,,;rV 2. Location of Property Lot. No. 14 7 3. Type of Structure �b�.� c_ e� _ No. of Bedrooms (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_��i-+E e-g :�AV-4 i L 4 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 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 Total Other AR.7lai- XerPAIA A 4 AbblTlCe4 r Q Signature 1 —V CGrz ce Installer) (Sketch showingall minimum distances and other t required below Cs l9-3.5-gwi�z� �etails re wired below) Permit Issued 19 `71, B.-- Installation Completed, Inspected and Approved ©2 J"A—V 19-2L- By 2.9 FlFe.D i E 6 3 3.I' ICES: f}ui I-1 ,t.j 1 y`)` ((P, Pc; i_ 3 r C 0 N i Rol Lll(A 'l�11�_tla ve R._a�. Lor #!, TALL E P� ADAM 3,C