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HomeMy WebLinkAboutSeptic New 12 Orchard Hill Drive TOWN OF SOUTH WI N DSOR BUILDING DEPARTMENT South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System Application No. ll�C.D TO THE BUILDING DEPARTMENT: Date. 7 -",t/ A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: 24 1. Owner of Property. Addres of Owner 2 C 'e S P 2. Location of Property 01 Lot. No. t� b — 3 Iq 3. Type of Structure r— No. of Bedrooms (Dwel in ,Comme --al Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ 5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs— Shower Kitchen Sinks Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tank / ) 00 Material of Septic Tank=Vl e Y r o a i 7. Soil Conditions: Type of Soil Maximum ground water table (Sand, ravel,Clay,et .) 8. If not served by public water supply: Distance from Owner's well " I t 1 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 C� /77 / ;L"" Classification of soil 7 il. Minimum square feet of effective seepage area required J- �7 12. Leaching System: Number of trenches Length , '7 Width d <� Total /—S Other 3 .1 Z a 7 Signatur (Licensed Installer) (Sketch showing all minimum distances and other details required ow) Permit Issued 19 By Installation Completed, Inspected and Approved 19 By 9d.14- S6, / p O N 0= s9 , £ 07 iE Q Y. y y n >, 63 "•t ` t f7 ( r Lot No . i -•A ©r '4a c`.pt' jt cul an , nti ,nFt jSion t)f a ti �.Ot i a,t, 3( �!/j [ �.c c'3 !i'c)W11 O^ C'F)f> C91t �. Or l.Af: f; SC,i" r �Ot`Ct Lr3t ( Ce1jA �rr 4t.` 63 fd3}.il.s. 4 `hik:t t2� .7 1^. tr d t4.1 �1,�r�±. t �`j,� t tom'(_:`. i_ r y• y t