HomeMy WebLinkAboutSeptic Repair 16 Northview Drive ►� TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: DateftL L-
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: ,Loufes A
1. Owner of Property �- i L of l k `i` I/Cr�WFAddress of Owner_ t b !V(7/1/ (T[s/F46/ fir
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2. Location of Property f/ Lot. No.
3. Type of Structure of Bedrooms, '
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises Llg7 E&II it-
5. Plumbing Fixtures: Water Closets / Urinals Lavatories Bathtubs_,_
Showers_ Kitchen Sinks_ Laundry Tubs Garbage Grinder Other_ 4yi.&ER
6. Liquid Capacity of Septic Tank . . ® e) #L Material of Septic Tank__ ��4-
7. Soil Conditions: Type of Soil 5)4-A/ d Maximum ground water table c5
(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, st rm drain or embankment��F /
10. Percolation Tests: Time for 1" drop in soil test G Al Classification of soil Q' 17-1-e tl
11. Minimum square feet of effective seepage area required o/./
12. Leaching System: Number of trenches_ Length j0G Width Total
Other TY. FE ^ l701- C p
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(License ns 1U//IUw)
(Sketch showing all minimum distances and other details requir
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Permit Issued 19 By '
Installation Completed, Inspected and Approved _ 19 By