HomeMy WebLinkAboutSeptic Repair 35 Northview Drive TOWN OF SOUTH WI N DSOR •
33 BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Repair Individual Sewage Disposal Syst
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Application No.
1.
TO THE BUILDING DEPARTMENT: Date `�T�� G ,� �T/ 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 Property ,�u/ 40 o Address of Owner ✓/t2CL // /e �,J D n
2. Location of Property �S //A /` 1i/C w Lot. No.
3. Type of Structure W G A%� No. of Bedrooms
('Dwqping,Commercial Building,Store,etc.)
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4. Number of Families or Persons to Occupy Premises_ y� A. e
5. Plumbing Fixtures: Water Closets 7zUrinals_ Lavatories ___llBathtubs /
s Shower ( Kitchen Sinks Laundry Tubs_ Garbage Grinder, OtherV
6. Liquid Capacity of Septic Tank XS ? Material of Septic Tank
p �i.�c.
7. Soil Conditions: T /ype of Soil �'/4 I`'.D Maximum ground water table_
(Band,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well v from adjacent wells
y /
9. Distance to nearest water course, drainage ditch, storm drain or embankment 7` a !�
10. Percolation Tests: Time for 1" drop in soil test /►a J1F Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches�� Length � Width _ Total
Other
Signatur
( icensA I ller)
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By ti
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Installation Completed, Inspected and Approved oaz Nr 19� By �``