HomeMy WebLinkAboutSeptic New 76 Wendy Drive A `
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal Systems'
Application No.
' TO THE BUILDING DEPARTMENT: Date_ "` 5 ` 19-!6�
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is sul mitted:
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1. Owner of Propert , Address of Owner
2. Location of PrQpp, y ^441�/� Ec Lot. No.
3. Type of Structure
Ming,Commercial Building More,etc.) No. of Bedrooms
4. Number of Families or Persons to Oc y Premises_
5. Plumbing Fixtures: Water Closets c•2� Urinal Lavatories_ „__ Bathtubs f
Showers Kitchen Sinks f Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank. f44%6 Q Material of Septic Tank G
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Clay,etc.)
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8. If not served by public water supply: Distance from Owner's 7'embankment
from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain o
10. Percolation Tests: Time for 1" drop in soil test � Classification of soil
11. Minimum square feet of effective seepage area required 0-f�76-
12. Leaching System: Number of trenches .3 Length _ Width_ Z Total 3
Other
Signatur
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By
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I'(;C'!-'IUY CF
NO . 4vFNPY i)R I VE OIITH INDSOI-, , CONN .
Fe i nc3 Lot No . 37 on map ent i t I ed "Property of Ro I I i nc3 Dark
Homes , I nc . 'South i r-.<l!,or, .'onn :�ca I e 1 " 60' January 10, 1057"
scale 0'
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HAVEN L . O'RIAOLP C . E .
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