HomeMy WebLinkAboutDrain Layers Permit 290 Foster Street (2) TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date cS' 9'1_l 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_ Address of Owner
2. Location of Property_ c2 90 Lot. No.
3. Type of Structure
(Dwelling,Co raercial Building,Store,etc.) NO. Of Bedrooms
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 7— Urinals Lavatories 7__ Bathtubs _
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank / Material of Septic Tank_ XL*2 ems:'
7. Soil Conditions: Type of Soil_ , Maximum ground water table
(San,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 6'. S Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length COO C� Width�' 7 ` Total
Other
Signature
Licensed Installer)
(Sketch showing all minimum distances and her details required belo
Permit Issued 19, By
Installation Completed, Inspected and Approved 19 By
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