HomeMy WebLinkAboutSeptic Repair 90 Alison Drive TOWN OF SOUTH WI N DSOR l
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date- _3 ^ Z.2 - 6,f- 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: �,n
1. Owner of Property Uih e- r 7' Address of Owner 26
2. Location of Property 9L) ao&L a Lot. No.
3. Type of Structure !+✓tt,MA=-.4 No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ �Z
5. Plumbing Fixtures: Water Closets_ Urinals U Lavatories _ Bathtubs_
Showers_ Kitchen Sinks_7 Laundry Tubs_ Garbage Grinder_ Other d
6. Liquid Capacity of Septic Tank Material of Septic Tank efl nz y, rl,^w c
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well i ' from adjacent wells ,;2
9. Distance to nearest water course, drainage ditch, storm drain or embankments t�
10. Percolation Tests: Time for 1" drop in soil test �h.,/,-S' Classification of soil
i
11. Minimum square feet of effective seepage area required J 7S
12. Leaching System: Number of trenches ,� Length-1 0,xSn°k,U' Width Ace �� Total ISQ".Y-2o 'G
Other M r /"4/ ,k d 1-Tel V/44
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
� I
6
3�� 9
75c l
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By