HomeMy WebLinkAboutSeptic New 00Steep Road 85500000 t -
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A 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: Date. Ja G 196 V
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—& )05�' 6-" T- Address of Owner C9 /V"7 L( U`r e"i�p�, ',
2. Location of Property 02�er-2 ��.4h1+�al&7*rzsJ Lot. No.
3. Type of Structure_ tA1 f, M ", No. of Bedrooms_
(l pellmg,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ /
5. Plumbing Fixtures: Water Closets � Urinals Lavatories �Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder /Other
6. Liquid Capacity of Septic Tank 4 Material of Septic Tank
7. Soil Conditions: Type of Soil �G(v1 �•(San Maximum ground water table iVOWf__q /— /O /
d, ravel,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, storm drain or embankment 1O--e
10. Percolation Tests: Time for 1" drop in soil test 13 4:2 -Classification of soil_ _
11. Minimum square feet of effective seepage area required 3®0
12. Leaching System: Number of trenches Q2 Length / _ Width �D�` Total
Other
Signature
(Licensed Installer) �—
(Sketch showing all minimum distances and other details required below)
Permit Issued �° �O 19GG .�
Installation Completed, Inspected and Approved 19 By
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Ou TH v4 1 DS r A N T H 6
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P E T i 71
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LOT AFEA
THERE ARE NO VIOLATIONS OF-
THE ZON I PIG L T•H E:
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OF
0 I HEREBY GER TIF Y
KFti� THIS PLAN TO BE ENGINEERING AND LAND SURVEYING
SUBSTANTIALLY
CORRECT; 740 NO, MAJN STREET, CROSSROADS PLAZA
WESl- HARTFORD 7. C`DNNECTICUT
No. 3732
A Lv, DATE RLVISED— DRW_Q. NO--
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