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Septic Repair 85 Valley View Drive
TOWN OF SOUTH WINDSOR BU I LDI.NG DEPARTMENT South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System Application No. #t?/6 TO THE BUILDING DEPARTMENT: Date_ CL 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 Property `�ZL Z2 711Z tl.t- �- —Address of Owner 2. Location of Property o 3 P-L-LE, Lot. No. 1 3. Type of Structure -✓L- �- � No. of Bedrooms (D elling,Commercial Buucung,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•-110-1-c=Other 6. Liquid Capacity of Septic Tank Z23 U a t Material of Septic Tank_ C,.rJ-rLci�.P 7. Soil Conditions: T arm .-� z--�-c ype of Soil / ;z� 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 .26%L t[ , Classification of soil 11. Minimum square feet of effective seepage area required a 12. Leaching System: Number, of trenches Length idth ' Total Other Signature ,lxc Z (Li'denaed Installer) (Sketch showing all minimum distances and other details required below) Permit Issued 19 By Installation Completed, Inspected and Approved 19 By a of ace rr - 1 4go o6 Ff / rr'r'p�s�;fit►-,;tiis����..: FRQFIRTY OF • - > ° . NO. VALLEY VIEW DR IV$ E TH WI11l # , ,�QO-My going Lot No. 4 dm map 04tAtted "MAP of VALLSY VIEW F,&Rxj' Road South Wind* 01ro C91MM. Propdrtjr of 19 p pe ter t l ex► f b Faia �+ Scale 1!' _- 80 Nov. 1 1960 NA d �teale T'" 50 UTZLql L. `aRl9V©Lb, tl.E.