HomeMy WebLinkAboutSeptic New 30 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.
TO THE BUILDING DEPARTMENT: Date
A permit is requested for repair or construction of an individual sewage disposal syst z concerning which the
following information is submitted:
1. Owner of Propert Z� 'Z� 'L Address of Owner__ ' =-1 Y.
d
2. Location of Property Lot. No.
3. Type of Structure No. of Bedrooms
(Dwell' ,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder.'1',' - Other
6. Liquid Capacity of Septic Tank / Jr 4 I�c�- - Material of Septic TankrJ'
7. Soil Conditions: Type of Soil, ..ja,ql QL7 , -,,/ C Maximum ground water table
(Sand,G avel,Clay,etc.)
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
10. Percolation Tests: Time for 1" drop in soil test 5 -)1 -1Z-k_ Classification of soil
11. Minimum square feet of effective seepage area required ,s 0 0
12. Leaching System: Number of trenches Length Width Total
Other
Signature
icensedInstal r) '
(Sketch showing all minimum distances and other details required below)
EL
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
• � i
_ _
?. -[ i - -
, .
.- .
. -. .-
. .. - - ,. -:... -
- P. - - - .
. .
. . ,�- .
_ �. ' - - ,- - ,- . I . I . .� .. -. .I � � . .
Ioy1' v
`L- 0 cx . _,..,
11
, r ,, r
a 4 Q
-��." -
4 .
- S
- `
:i .
d
e&;I
.�. � y�
r tY - l
s
+ - a
'..ro a..` - - -
'�(
_ - Z a
+ -
= i -
y : 6��. r
-
-
;,
- - - -
.
-
_ % -
.
i
— -_ r
Y'[ ti- Y - - - 1 k - .-�
Y - - M' "-Lai -.. s -eG'!� - - .. --
R
rA
off' 7' F,v��-i __� T'v�a� d f` �i� _._. .._._ 7'b ray
Vv
i
2-3-3
._
6
-77
r 0 Tie C E 7-