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HomeMy WebLinkAboutSeptic New 00 John Fitch Boulevard (2) TOWN OF SOUTH WI N DSOR BUILDING DEPARTMENT South Windsor, Connecticut pplication for Permit to Install or Repair Individual Sewage Disposal System Application No. 73,5090' TO THE BUILDING DEPARTMENT: Date. /,f-"6 19 lo.J A permit is requ ed for reps' or construction of an individual sewage disposal system concerning which the following information is su tted: 1.4�wner of Pro erty s A Addres of Owner 2. Location of roper Lot. No. 3. Type of Structure �iNT A/ s P19014Ar,� Jjra2� No. of Bedrooms (Dwelling,Commercial Budding,Stare,etc.) 4. Number of Families or Persons to Occupy Premises_ 5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs Showers Kitchen Sinks` Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tank_ :1-cfN0 , Material of Septic Tank 7. Soil onditions: Type of Soil O��x2� Maximum ground water table (Sand,Gravel, etc) 8. If not served by public water supply: Distance from Owner's well C 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 Y-Iizr .rty < Classification of soil 11. Minimum square feet of effective seepage area required 12. Leaching System: Number of trenches Length Width Total Other Signature (Licensed Installer) (Sketch showing all minimum distances and other details required below) Permit Issued 19 By Installation Completed, Inspected and Approved 19 By 'i dd� Inv o o II rw ��r✓i ?2 �-�1�'a' c'YP �d'7o�a� 1 r 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 V Z 19 �� A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: 1. Owner of P�rpperty f l i N Address of Owner O)'t 96MO �d - 2. Location of Property / c��•ti% 0 Lot. No. 3. Type of Structure No. of Bedrooms (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ 5. Plumbing Fixtures: Water Closets Urinals Lavatories / Bathtubs Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tank 1,1ee ,Material of Septic Tank 7. Soil bonditions: Type of Soil z Maximum ground water table_ /100�e,61E (Sand,Gr6vel,Clay,etc.) 8. If not served by public water supply: Distance from Owner's well UAJ//C - 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 0;2 g� Classification of soil 11. Minimum square feet of effective seepage area required 12. Leaching System: Number of trenches ga- Length Width Total, 6 Other Signature - -� (Licensed Installer (Sketch showing all minimum distances and other details required below) w° x /` r' edt �. a ,b - Permit Issued 19 By Installation Completed, Inspected and Approved 19 By i 414 .LC�C'r97-1©+4t1�Z2�ur� ZrJ7" No, _ - -- �-- Z)/SrAVCZ : "�49, 4-,- ry i""s#Nk (Cr) _ � tea?n1�t 7-o Xv Al l R Jc;J 5 � � M OINNEeS ,MAKE D1,YiAA1C, 140046 -+o `rANk 7)NX 70 �.�. �� n rA4 54 i=r AjNA P e Iv Oo � St r Ca 1�