HomeMy WebLinkAboutSeptic New 20 Deepwood Drive TOWN OF SOUTH WI N DSOR `
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. " 0/
TO THE BUILDING DEPARTMENT: Date 7 6 19 Cr—
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: G�a.�y� 4'1445 a2. I
1. Owner of Property ; Address of Owner,—z�/Io N c 4 e s 7 r r
2. Location of Propert �k e-e c Lot. No. 70
3. Type of Structure ef. -Lz-1 No. of Bedrooms J'
(Dwe ing,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Z— Urinals Lavatories Bathtubs _
Showers Kitchen Sinks I Laundry Tubs Garbage Grinder Other _
6. Liquid Capacity of Septic Tank
11 l/®O Material of Septic Tank—CO r� e Y r o(J
7. Soil Conditions: Type of Soil h?+ aa')Ce f-4^'C Maximum ground water table
(Sand, ravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well �u 1`� from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test ,I -� Classification of soil
11. Minimum square feet of effective seepage area required -r-?,Q
12. Leaching System: Number of trenches Length Width Total
Other 70 Z �� 00 S/, •tJ I
Signature
(Licensed Instal
(Sketch showing all minimum distances and other details req 'red below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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