HomeMy WebLinkAbout1971-4-30 - 1216 Main Street - Septic ApplicationTOWN OF SOUTH WINDSOR
fEE Ahb BUILDING DEPARTMENT
Ry armm‘zga South Windsor,Connecticut
Application for Permit to Install or Repair individual Sewage Disposal System
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Application No.@44‘07/‘/
To THE BUILDING DEPARTMENT;Date 3w #ixmn.19 7/
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 W.'’l;(veiw'lé’.JIL Address of Owner (J—Ié /L{mn/Snags-P
2.Location of PropertyéAs'rSib§Aerwsmxi [car/gleniw i gr/zc/vé Lot.No.
Other
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Signature
(Licensed Lnstalle\msmgwsw (W7lzs98/J.)(Sketch showmg all minimum distances and other details required beow)
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Permit Issued 3o #l/nen.19_31_By //u/L
Installation Completed,Inspected and Approved 3a Apd’w‘l Ls.19 ’7:By
3.Type of Structure $w£uu~iq No.of Bedrooms/i (Dwelling,Commercial Building,Store,etc.)
4.Number of Families or Persons to Occupy Premises (9Ng (i)Emu/Ly
5.Plumbing Fixtures:Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6.of Septic Tank En 1'hi ‘Material of Septic Tank éONe E {6.Llquid Capac1ty
7.Sell Conditions:Type of Sell $m~3 Max1mum ground water table
(Sand Gravel Clay,etc )
8.If not served by public water supply:Distance from Owner’s well '7$F‘T-i'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 eifective seepage area required
12.Leaching System:Number of trenchesémlz ($3 Lengthi‘t'fb pr Width 2 FT Total IS’we;Fr
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