HomeMy WebLinkAbout394 Abbe Road Septic TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
II
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date. 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 Lot. No.
3. Type of Structure Y No. of Bedrooms
(Dwelling,cominerfal Building,store,etc.)
4. Number of Families or Persons to Occupy Premises
5. Plumbing Fixtures: Water Closets Urinals Lava ories�_ Bathtubs ^
Showers Kitchen Sinks _ Laundry Tubs Garbage Grinder Other,
6. Liquid Capacity of Septic Tank Z 6,ce-a /, Material of Septic Tank
7. Soil Conditions: Type of Soil L/1 ✓ 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 2 Classification of soil
11. Minimum square feet of effective seepage area required
12. .Leaching System: Number of trenches Length__ !Z WidthV Total
Other
f
Signature
eJr InFaller)
(Sketch showing all minimum distances and other detai s uired below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 18 By
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