HomeMy WebLinkAboutSeptic New 60 Deming Street TOWN Of SOUTH WI N DSOR
BU I 1-DING DEPARTMENT
nA/ 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 system concerning which the
following information is submitted
10 1. Owner of Property C,l,,l� d Pfl!JP V� Address of Owner. f/ o L�6Z1���(�'
2. Location of Property_ _ Mf F_ Lot. No.
3. Type of Structure-[ L,L/V No. of Bedrooms._
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises� 1/�- —�!!f lL
5. Plumbing Fixtures: Water Closets Urinals Lavatories-_ Bathtubs _
Showers Kitchen Sinks Lgyndry Tubs ~" Garbage Grinder� Otherl /Q
6. Liquid Capacity of Septic Tank ��'' �/�(_- Material of Septic Tank /���
7. Soil Conditions: Type of Soil � .�if (',Lk "� Maximum ground water table v.9 _
( and,Gravel,Clay,Ltd.)
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 ` Classification of soil
11. Minimum square feet of effective seepage area required 1,4
0177
12. Leaching System: Number of trenches_ Len It Width--I Total S� �
Qthe �. C
r � `l'aG G
Signatur/&� C
icensed Installer)
(Sketch showing all minimum distances and other details required below)
30
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fia cc-n
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By