HomeMy WebLinkAboutSeptic New 390 Abbe Road Extension TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT j
South Windsor, Connecticut /
Application for Permit to Install or Repair Individual Sewage Disposal System ,��
Application No. ' 3-'1 7,0 X--�
TO THE BUILDING DEPARTMENT: Date_ ~ r 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 AM../ 'Oe'ler S a Address of Owner
2. Location of Property3w/A qp. `yIt Lot. No.
3. Type of Structure /"e //,-,1z - No. of Bedrooms
(owel ng,commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets DL Urinals Lavatories Bathtubs /
Showers V Kitchen Sinks _ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank J Material of Septic Tank U�(24
7. Soil Conditions: Type of Soil .S3Rh4 CIA Maximum ground water table
(Sand,Gravel,Clay,bte.)
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 Classification of soil S4_n4 L`*5
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width Total
Other
Signature 1� G
��Installer)icensed
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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