HomeMy WebLinkAboutSeptic New 00 Miller Road (2) TOWN OF SOUTH WI N DSOR f
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
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Application No.
TO THE BUILDING DEPARTMENT: Dat 19
A permit is requested for repair or construction of an individual sewage dis osal system concerning which the
following information is submitted:
1. Owner of Property --._Address of Owner. 7 C,Ctc9-c.c. Q 1 • /Ie '
2. Location of Property I M4 Lot. No. oZ.
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 I Urinals^ t� Lavatories 3, Bathtubs _
Showers_ Kitchen Sinks,I Laundry Tubs__ Garbage Grinder_ Other o
6. Liquid Capacity of Septic Tank //A b_ Material of Septic Tank C d iY&— r► -e,
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gfevel,Clay,etc.)
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8. If not served by public water supply: Distance from Owner's well from adjacent wells Asa 7�-
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test_ Al ik Classification of soil
11. Minimum square feet of effective seepage area required ZS d n�x
12. Leaching System: Number of trenches�3 Length_, S b f Width A / Total AV �
Other
Signature/VGY ,/�
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(Sketch showing all min hm distances and other details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PROMRTY OF
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UNNIS� M, '1it}1'�FIN:STV
NO MILLER ROAD SOUTH WINDSOR"CONN. `
Scale : 1 " 50i ,Tune 1,8, 1964
HAYDEK L OR ISWOLD G .k; .