HomeMy WebLinkAboutSeptic New 274 Abbe Road TOWN OF SOUTH WINDS Y
BUILDING DEPARTMENT c�
South Windsor, Connecticut 0�(ij
�'ley . i ,� '
Application for Permit to Install or Repair Individual Sewage Disposalystem
Applicatio 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&...14 F, *Soic, Address of Owner r_
2. Location of Property Lot. No.
3. Type of Structure p No. of Bedrooms_
(nwellirfg,Commercial Building,S re,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets a Urinals Lavatories _ Bathtubs
Showers�I Kitchen Sinks Laundry Tubs —-- Garbage Grinder. Other
6. Liquid Capacity of Septic Tank 7 S6 Material of Septic Tank
7. Soil Conditions: Type of Soil C_J'--*- Maximum ground water table
(Sand,Gr t
vel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well_2 � Tfrom adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or, embankment a n '
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11 Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches, Length Width 3o'll Total L5�0 _
Other
Signatur
(licensed Installer)
(Sketch showing all minimum distances and other details required below)
�]►rsiy8� t TYtrlG4ea
lot X
�s.�t'► J / r.J.�gar, �;�e r i �wC
e
a _
. f �
Permit Issued 19 By "
Installation Completed, Inspected and Approved /S- T-Ct 19 4 G By
1
a 8
Jd
t 3�
i
An