HomeMy WebLinkAboutSeptic New 1737 Main Street �LoV TOWN OF SOUTH WI N DSOR �'��►��
i1,P b � BUILDING DEPARTMENT mod•---'�—r—
:; South Windsor, Connecticut
��. Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. as/3 70—/
TO THE BUILDING DEPARTMENT: Date. /3 NA1I 19_7—,
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of PropertyE"Juy"TN St.#004. Address of Owner /'yA4Sn 0Vr
2. Location of Property 1131 EAAr LrMj ecA A&L Lot. No.
3. Type of Structure 41!5LW^44W lArt V SO "J. No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises yd0 IO 600 pEoALE
5. Plumbing Fixtures: Water Closets VE5 Urinals_ Lavatories y'E'$ Bathtubs
Showers[ Kitchen Sinks YC4 Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic TankSb&D *ALWA'S �' Material of Septic Tank 40MCAL6TE
7. Soil Conditions: Type of Soil SAND Maximum ground water table
(Sand,Gravel,Clay,etc.)
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 3 MtAf#Ar&S Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width Total
Other
Signature
(Lice d nstaller)
Aov.N .l�u�ttvi�ws
(Sketch showing all minimum distances and other details required below)
1,EAe#10 silsfFM Ra�iDAlc P,F2 E,vyi�EEai rs —AAARodE� m.egwi•v�S•
Permit Issued /b 1Y*y 19 70 By
Installation Completed, Inspected and Approved aS AT 19.ZQ By8RVIW EO.arArt03. Jr..
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