HomeMy WebLinkAboutSeptic New 42 Barber Hill Road f� TOWN OF SOUTH WI N DSOR
fp BUILDING DEPARTMENT
o� South Windsor, Connecticut
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Application for Permit to Install or 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 `'!/! -.A' Address of Owner '�� by
2. Location of Property Q.74 I&-14
� Lot. No.
3. Type of Structure it/ 9 No. of Bedrooms
1�-
(Dwelling,rmmercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ °2'
5. Plumbing Fixtures: Water Closets Urinals Lavatories / Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 3 LJ iMaterial of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Chly,etc.)
8. If not served by public water supply: Distance from Owner's well 74 from adjacent wells 7&4r
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
11. Minimum square feet of effective seepage area required ��
IV-
12. Leaching System: Number of trenches Length Width Total
Other
Signature
14'____ / ------- (Sketch showing all minimum distances and othe,4details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 142 J i 19 By