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Home My WebLink AboutSeptic Repair 108 High Tower Road a L�� TOWN OF SOUTH WI N DSOR ` .Fiz m i-r BUILDING DEPARTMENT )) G" �C} South Windsor, Connecticut �( �� a Application for Permit to Install o epair Individual Sewage Disposal System Application No. 0'f/D 'd;0 a-J TO THE BUILDING DEPARTMENT: Dat /A- 19 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 �PIr?V 441AA410-:e.-y4d! Address of Owner-©8 Pid-- t /&VLXJ.4P`,L ?1 0141b 2. Location of Property ^ -SMAr-' Lot. No. 3. Type of Structure W4rL.L"'if No. of Bedrooms (Dwelling,Commercial Building;Store,etc.) ,. 4. Number of Families or Persons to Occupy Premises_ f 1) r—AO)1e a! 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 YI-W-1 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 trenchesTR--F 43) Length /sS PT Width-2, S�X`f Tota1349B S4 FT. Other Signature ce ed IrtfirhUo'WrF- ) (Sketch showing all minimum distances and otlr®fe'?a'is re ��— avEOR Fo lR SKI-rem. Permit Issued 10 /Aia2 I t By Alk& C DWAR A 3 Jit, Installation Completed, Inspected and Approved W i»L,.;, 19 -76 By /'F< EpW Q D!5 .7a- ,. 4 Q fl Z :. Q �� \ \ � //f,tA 5'T/C /"/.ate f :Z�` � - � � - ,sc�� ,} �� ' �� /fC+4� �fG� '�aA�h�