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HomeMy WebLinkAboutSeptic Repair 302 Smith Street �` N DSOR � TOWN OF SOUTH WI BUILDING DEPARTMENT /im, South .Windsor, Connecticut c Application for Permit to Install or GReair Individual Disposal System l S TO THE BUILDING DEPARTMENT: Application No. c►* 29-- f Date f+lL tL 19 70 A permit is requested for re air r construction of an individual sewage disposal system concerning which the following information is submitted: I. Owner of Property-fur. ! Address of Owner, �is�,f -S� — 7 2. Location of Property .. 3. Type of Structure Lot. No.--- _ (Dwelling,Commercial Building,store,etc.) NO. of Bedrooms 4. Number of Families or Persons to Occupy Premises._ ®^i€ Cil t is y 5. Plumbing Fixtures: Water Closets Showers Urinals_________ Lavatories`_ Bathtubs,_ Kit Kitchen Sinks Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tank_f: t©ey a-AL a % Material of Septic Tank 7. Soil Conditions: Type of Soil__ (sans,Gravel,clay,etc.) —Maximumo__--ground water table 8. If not served by public water Supply: Distance from Owner's well pp Y. from adjacent wells 9. Distance to nearest water course, drainage ditch, storm drain or embankment 10. Percolation Tests: Time for V drop in soil test Classification of soil 11. Minimum square feet of effective seepage area required 12. Leaching System: Number of trenches Length Width Other _ 14 � Total e � ,r Signatur J (Sketch showing all minimum distances and atK®® staller) ( cena gd � er$��ils(�ryeq e elow)1 104)— 'R _ h 7 d r T�0T✓AD 4' Permit Issued_ / Ap,C`� --� BY 0o` Installation Completed, Inspected and Approved !? h�j�j2/ L> JJ� 19 76 By