HomeMy WebLinkAboutSeptic New 97 Beelzebub Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to IrnVgOw Repaiiq
r Individual Sewage Disposal System
CApplication No.
TO THE BUILDING DEPARTMENT:
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
2. Location of Property Lot. No.
3. Type of Structure ` ;1 i No. of Bedrooms
(D elligFg_! ommercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ r.' .` .mil .`'-'
5. Plumbing Fixtures: Water Closets_ Urinals C—i Lavatories Bathtubs _
Showers _ Kitchen Sinks__ Laundry Tubs 14 Garbage Grinder Otlf;�
6. Liquid Capacity of Septic Tank (� Material of Septic Tank (a'
?. Soil Conditions: Type of Soil 4f<�'A Maximum ground water table—
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well from adjacent wells 24,
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test_ A,, ,f Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches__ Length_ Width 1 Total
Other
Signature
(Licensed staller)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By