HomeMy WebLinkAboutSeptic New 100 Bidwell Road r
TOWN OF 90UTH WI N DSOR
' r
" BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Rep 'r Individual Sewage Disposal System
J ,
/ Application No.
TO THE BUILDING DEPARTMENT: Date. 6' N D V 19 Gs
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 f/)/440 Address of Owner_ tI D f(��'-�✓n �de I d. Wi c q.iyt
2. Location of Property 3' 'S 1 N d J 7 X 111 L /0.4121< /�'0.4 D Q ��
Lot. No.
3. Type of Structure / /V p ul T'R l A L No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ 2 S 6 E 1
5. Plumbing Fixtures: Water Closets Urinals f_ Lavatories U Bathtubs
Showers U Kitchen Sinks O Laundry Tubs 0 Garbage Grinder 0 Other FR.►,0L-cf 2.
6. Liquid Capacity of Septic Tank 2. 00-0 04- Material of Septic Tank CDVC i F
7. Soil Conditions: Type of Soil S 4"-D Maximum ground water table_ I
(Sand,Gravel,Clay,etc.)
y�
8. If not served by public water supply: Distance from Owner's well from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment 2 U 0
10. Percolation Tests: Time for 1" drop in soil test ' S M ^� Classification of soil_��y9
11. Minimum square feet of effective seepage area required / J s F
12. Leaching System: Number of trenches Length_ Width 3 4 Total /S V S •F
Other
Signature (Licensed sta lerj
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By