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HomeMy WebLinkAboutSeptic New 1101 John Fitch Boulevard 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—,A�C_ l 19 e�f 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�,rol?rty E.� Address of Owner C�-��Ivcm�C v�cu _ 2. Location of Prope y - Lot. No. Jivi Sohn 3. Type of Structure No. of Bedrooms (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ 44 ;,e 5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other 0 6. Liquid Capacity of Septic Tank Material. of Septic Tank �� /1 7. Soil Conditions: Type of Soil pz Maximum ground water table 5 (Sand,Gravel,Clay,etc.) A- 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 /.lac+ +:, Classification of soil 11. Minimum square feet of effective seepage area required 12. Leaching System: Number of trenches Length Widt Total Other Signature4Z�1 —. (Licensed Installer) (Sketch showing all minimum distances and other details required below) Permit Issued 19 By Installation Completed, Inspected and Approved ao A�'«��►�'a 19(3 By r 1 I i I � I I � E I I 1 I J©NiJ rJ7C N LJC V D )f 'F - i i JN,:`' ,v..� -�� ^��--:e,"�_y,- �.'�,'a✓�,., .-yam 6 �© s 1 �s b+1 O \A "i ,S