HomeMy WebLinkAboutSeptic New 199 Abbe Road TOWN OF SOUTH WINDS O10,
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal SysteV//
Application No. / 9
TO THE BUILDING DEPARTMENT: Date. 19 ,67
A permit is requested for repair or construction of an individual sewage disposal system concerning whicl5 the
following information is submitted:
1. Owner of Property CC) 1/&'yJtc y Address of Owner /,-7,cG, J-
2. Location of Property/99 /fr a 16 X /17� EKT y- (.t/1-C-D-pVA- Lot. No.
3. Type of Structure t D No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ /
5. Plumbing Fixtures: Water Closets 3 Urinals C, Lavatories Bathtubs
Showers 2_ Kitchen Sinks / Laundry Tubs / Garbage Grinder Other
6. Liquid Capacity of Septic Tank e 1 Material of Septic Tank C 1�7 � .
7. Soil Conditions: Type of Maximum ground water table l Z
(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 S�9
10. Percolation Tests: Time for 1" drop in soil test 3 /`t -U Classification of soil �G-cr=0
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length 6d Width .j� t� Total
Other
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Signature
Licensed Installer),e n _
(Sketch showing all minimum distances and other details required halo a /�
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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