HomeMy WebLinkAboutSeptic New 20 Bidwell Road TOWN OF SOUTH WI N DSOR
lO BUILDING DEPARTMENT
�L h Windsor, Connecticut
Application for Permit t Install r Repair Individual Sewage Disposal System l
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 Propertyfa�'�`44 AI'�' C`�' "(i Address of Owner_Tl�ht����/ Ohl
2. Location of Property�ZQ, 1,( - `+ Lot. No.
3. Type of Structure Go A%- 44 e_r-1C a No. of Bedrooms
Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises__16
5. Plumbing Fixtures: Water Closets � Urinals —� Lavatories _ Bathtubs 0
Showers Kitchen Sinks_— Laundry TubsQ Garbage Grinder d Others
6. Liquid Capacity of Septic Tank C1 Material of Septic Tank r' d .01!f C e ZY4 a/e/C.4 a.r J
7. Soil Conditions: Type of Soi 4 M Maximum ground water table Ge /
(sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's wellpv e C, from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment !6 %'K.0 �1
10. Percolation Tests: Time for 1" t drop in soil tes //Y f Classification of soil
11. Minimum square feet of effective seepage area required C.t.p 10 a b W %Ao b
12. Leaching System: Number of trenches 1.3 Length Width ,3 G Total /%$-0 X O
Ot er
Signature
(Licensed staller)
(Sketch showing,all minimum distances and other details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved
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