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HomeMy WebLinkAboutSeptic New 65 Ident Road i / TOWN OF SOUTH WINDSOR c-L- Pi41b n. BUILDING DEPARTMENT /'weir wmoA ( i ul►.p IM& Dg9r. South Windsor, Connecticut /✓o w Application for Permit to Install or Repair Individual Sewage Disposal System Application No._//0 97®--l TO THE BUILDING DEPARTMENT: Date. 09 /J004 Ad b E/L 19 70 A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted:1. Owner of Property 0/4 c-tu Outer A4 At--g,,b o i r%l Address of Owner-Jr A rr„d 2)2 i v e- 2. Location of Property �P� -rbrsejr 2crA b Lot. No. 3. Type of Structure , No. of Bedrooms:_ (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises ON LC ci t AAA I k1i 5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other ` 6. Liquid Capacity of Septic Tank L e e&& GA&-"AA Material of Septic Tank C'nr4cEr sTg I c,4 A2D3 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?S f 'T- 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 A/,Nt/d!L''ES Classification of soil 11. Minimum square feet of effective seepage area required/AW'FT PER,6K4" TO'TitA- OF a7S' SIR FT' 12. Leaching System: Number of trenches7IA�-gc� C' Length t-,Tr cr Width V-,S sz�T Total 387vr s;, r-•r Other ' l Signature Wr� ( rN itv len[i (Sketch showing all minimum distances and other details required below) Permit Issued Installation Completed, Inspected and Approved 09 t3oogmtwe- 19?v 13 �'�- l /OF 7,5 � o 0 N J?o a +� 3 Ss� p q/p�e rA des '�ire./. C ! ...5� Jed rOo.rs �Orr�.Lv, -�7s' 0 � b t S \ 9 fit- a' Z� aG • Q mil_. �rl 7 �Q 3079 SUR4�-��� �5�9/e /s ©�T. /9 70Ca-rrG- TOWN OF SOUTH WINDSOR TOWN HALL SOUTH WINDSOR, CONN. o6074 DEPARTMENT POLLUTION CONTROL Date . . . . . . . . . . The Sanitary Sewer Septic System . . . . . . at . . . . or lot #. . . . . . . . . . . has been installed and completed in accordance with the Town of South Windsor ordinances and regulations. Accepted and Approved By Date