HomeMy WebLinkAboutSeptic New 117 Tumblebrook Drive TOWN OF SOUTH WINDSOR A��A410-
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BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date a.2 AAPZ I A� 19 70
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 CL i! Y'!C.ki Address of Owner
2. Location of Property /Og /ct,N� A-2 � �2/� Lot. No.
3. Type of Structure No. of Bedrooms 7
(Dwelling,Commercial Building,St/ore,etc.)
4. Number of Families or Persons to Occupy Premises_�� 4/) 4,407/4 f
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank IoIZ6 C A --41 Material of Septic Tank �ntCtt�f�
7. Soil Conditions: Type of Soil S^"fz Maximum ground water table
(Sand,Gravel,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
10. Percolation Tests: Time for 1" drop in soil test /dr 1nto+rz4T'&M> Classification of soil
11. Minimum square feet of effective seepage area required-2s6 ;KS i--r PC--A Ae=1]ec�l -r6r.44 cr�eoD F r
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12. Leaching System: Number of trenches S$X Clv] Length433 FT Width a. s fit' Total 1..OB_3%!R tvr
Other
Signature�—~ ..�
(Licensed Installer)
(Sketch showing all minimum distances and other details requiceff below)
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Permit Issued /U.—)ac- 19 7C9 By
Installation Completed, Inspected and Approved So 19 '70 By M. CD-0&v5 94-.
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