HomeMy WebLinkAboutSeptic New 15 Beelzebub Road A
TOWN OF SOUTH WI N DSOR
efL� ��{p BUILDING DEPARTMENT
f
South Windsor, Connecticut
pplication for Permit to Install o Repa' Andividual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date. // ,.2,J/ G o 19
A permit is requested for repair r construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property Address of Owner J
2. Location of Property �' i J/1 Lot. No.
3. Type of Structure /,D i-v mot/I'" No. of Bedrooms
(Dwelling, ommercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories_ Bathtubs_
Showers Kitchen Sinks_ Z Laundry Tubs_,—/Garbage Grinder Other
6. Liquid Capacity of Septic Tank ��/� C _Material of Septic Tank
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 `fit
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
12. Leaching System: Number of trenches' Length Width Total .?�y
Other
Signature
(Licena dInstaller)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved nr 9 By