HomeMy WebLinkAboutSeptic New 335 Hilton Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT A/v• :7!!L—I/
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No—1.25 7G-4
TO THE BUILDING DEPARTMENT: Date ZL�5-
A permit is requested for<epair_or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property -1&PJAA b I': l tc-S Address of Owner �j -� ' t S,�'
2. Location of Property Lot. No.
3. Type of Structure (Dwelling,Commercial No. of Bedrooms
Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises �C` t i l )�*'I,c.j
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 SANb/(7,eA'J*(. Maximum ground water table
(Band,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well ct C. from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment oeEE'T No�S
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
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12. Leaching System: Number of trenche c!/t� 1 Length ELO—f Width 11 P- e'f Total3�FT
tallier oZ OR 8 c7 r.FA / le.S, w SD I
Signature
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(Sketch showing all minimum distances and other detai s required bc0 i
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Permit Issued 19 70 By A1,C-4. t V '&u-)AC-n5 -&.
Installation Completed, Inspected and Approved .z7/ ;4A"A! r/ 1976 By fPgt EOw^eDS v74-.
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