HomeMy WebLinkAboutSeptic Repair 2 Ahern Drive l
TOWN . OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to hv0dW 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 4'd 6_i2 r G P v -e Address of Owner-_I_ e r ir-
2. Location of Property--;-� tray" Lot. No. Q¢
z
3. Type of Structure A,4,—& �e No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4: Number of Families or Persons.to Occupy Premises
5. Plumbing Fixtures: Water Closets Urinals Ja Lavatories I Bathtubs I
Showers� Kitchen Sinks / Laundry Tubs j Garbage Grinder_ OtherG
6. Liquid Capacity of Septic Tank.C&Aec,-e-ye Material of Septic TankGQ.v t e 0*
7. Soil Conditions: T e Maximum {/
Type of Soil a v ground water table
(Sand,Gravel,Cl ,etc.)
8. If not served by public water supply: Distance from Owner's well //, from adjacent wells 4c _
9. Distance to nearest water course, drainage ditch, storm drain or embankment /d D
10. Percolation Tests: Time for 1" drop in soil test��_ M, ,a�s Classification of soil Is
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches - Length fie Width t Total,-?'b",V .9
Other
Signatures ..1e�.
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
14stallation Completed,Inspected and Approved 19 By