HomeMy WebLinkAboutSeptic New 68 Deming Street TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Applicat' No.
TO THE BUILDING DEPARTMENT: Date I 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 Property �IAddress of Owner 0
2. Location of Property / , �y Lot. No. 3
3. Type of Structure)ut ` �.{ /►0 No. of Bedrooms
( welling,Commerc Budding,Store,etc.)
4. 'Number of.Families or'Persons to'Oc upy Premises
5. Plumbing FixturesWater Cio�sets. ` Urinals Lavatories_ Bathtubs
Showers K1 the S nn S. �" L dry Tubs Garbage Grinder `—� Other
6. Liquid Capacity of Septic Tan f % Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table
and, ravel,Clay,etc.)
8. If not served by public water supply:"_Distance from Owner's well from ad'acent wells CI T /
9. Distance to nearest water course, drainage ditch, st r r g bankment P�
10. Percolation Tests:,Time for 1" drop-in soil test Classifi tion of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Nu ber of tren es Length Width oZ Total
_
Other
j N
Signature
tensed I er)
(Sketch showing all minimum distances an other details required below) 9—sqv
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FIX 141
Permit Issued 19 By
Installation Completed, Inspected and Approved /t/ do"'es?'L 1969 B
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