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HomeMy WebLinkAboutSeptic Repair 100 Valley View Drive TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System Application No._ o TO THE BUILDING DEPARTMENT: A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: '/� n 1. Owner of Property_ �/� r� Address of Owner_ ✓fhe'i�.Zr�ie 2. Location of Property ( �?� Lot. No.. 3. Type of Structure �`� -ll�� No. of Bedrooms (Dwelling, mmercial Bull g,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;��f'�Other 6. Liquid Capacity of Septic Tank Material of Septic Tank t�vrl- C" t az.a-� 7. Soil Conditions: Type of Soil.! ? - c�-, Maximum ground water table e (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 12 . 2--Prryi_ Classification of soil 11. Minimum square feet of effective seepage area required 00 — 12. Leaching System: Number of trenches Length Widt r'� "" - - w Total Other h Signature (31g5hsed installer) (Sketch showing all minimum distances and other details required below) (� Permit Issued 19 By Installation Completed, Inspected and Approved 19 By 40 kA Kupc u�r�� f©ado 5� FOR BUILDING PURPOSES OINK 6,46 A asap/ CID t �&o nEeuleieoi COSO Aff 0 At �I�!/i/ffl(tffl4E�klk«� Y� PROPERTY OF N0. VALLEY VIT'W 1RIVE SOUTH WINDSOR, CONN . Beng Lot No . 62 on map entitled "tfap of VALLEY VIIJ FARMS Ellington Road South [Windsor , Conn . Property of Emma Palmer �Y Kenneth Palmer Scale 1 " = 80 , Nov . 1 , 1960 Hayden L. Griswold L .E. " Scale I " HAYDEN L. (3RISWOLh �; .�.