HomeMy WebLinkAboutSeptic Repair 37 Ronda Drive TOWN OF SOUTH WINDSOR
rEAr PA#D BUILDING DEPARTMENT AE2M1T
19Y eNEe South Windsor, Connecticut tiv.
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date 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 Propert3,!+'9 c' �s��.�',�LG>2��CJ Address of Owner.3? Po rI A q 2�2 i Vz-
2. Location of Property S.09 w l E Lot. No.
3. Type of Structure bw6LL14 No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premise ui FAr►t z y
5. Plumbing Fixtures: Water Closets / Urinals Lavatories_ Bathtubs
Showers Kitchen-"Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank :2 Material of Septic Tank �' i11t�y,
7. Soil Conditions: Type of Soil 5 A Ai b Maximum ground water table
( a d, ravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well X from adjacent wells X
9. Distance to nearest water course, drainage ditch, storm drain or embankment )1__7
10. Percolation Tests: Time for V drop in soil test •r-Y25h� Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches✓zgcs Length 8o Fr Width 2,S FT' Total2av Sq FT
Other `
Signature y
r, icensed Installer)
(Sketch showing all minimum distances and other details required below)
S E c�1�c2 Fz),R SVa_7c 0
Permit Issued 19 By
Installation Completed, Inspected and Approved 04�cyE�11�,�/� 19 ,76 By �
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