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HomeMy WebLinkAboutSeptic New 75 Timber Trail TOWN OF SOUTH WI N DSOR BUILDING DEPARTMENT South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal Systern--4�z�d q Application No. TO THE BUILDING DEPARTMENT: Date. / "-'21-6-- 1%% 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- /� Address of Owner 2. Location of Propertj% f !2� Lot. No. d 3. Type of Structure No. of Bedrooms t cuing,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ 5. Plumbing Fixtures: Water Closets_ Urinals Lavatories ft.2— Bathtubs Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other 001, 6. Liquid Capacity of Septic TankZ,.-45?) terial of Septic Tank 7. Soil Conditions: Type of Soil aximum ground water table (San Gravel,Clay,etbdf 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 10. Percolation Tests: Time for 1" drop in soil test ")� Classification of soil 11. Minimum square feet of effective seepage area required fil-2 It 12. Leaching System: Number of trenches Length��_ Width (�'-30 Total Other Signature (Licensed In er (Sketch showing all minimum distances and other details r ired below) Permit Issued 19 By Installation Completed, Inspected and Approved 19 By 122 1 t8 1 137.00' CO I I � 3- 25 6,AR• 24 15s'i I� 7- ► M F3 E:;Z T RAJ l_ LOT #120, BIRCH FILL ESTATES SECTION #4 TOWN OF SOUTH WII�DSOR, CONNECTICUT SCALE: 1" _ 4o , Rockville-, Conn .