HomeMy WebLinkAboutSeptic New 399 Beelzebub Road P
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
39
1 Application No.
TO THE BUILDING DEPARTMENT: , 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: �7 /'x"'eCos— 2
1. Owner of Property /l�r��JT.y \�����%%�� 1�dre s of Owner3911--/ ,ell
2. Location of Property Lot. No.
3. Type of Structure ��L"�```.✓O No. of Bedrooms __
(Dwelling. , tc.)
4. Number of Families or Persons to Occupy Premises f>"Atz
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank /.�z ,o C6C
/Material of Septic Tank w
7. Soil Conditions: Type of Soil CoeO4J, �"A! iY Maximum ground water table
(Sand,Gravel,Clay,et
8. If not served by public water supply: Distance from Owner's well v0 r[ from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or mbankment
10. Percolation Tests: Time for 1" drop in soil test / Z e Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length 4QW1dt1A Total
Other
Signature .
(Licented Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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