HomeMy WebLinkAboutSeptic New 301 Deming Street TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Appliati tion No.
TO THE BUILDING DEPARTMENT: Date �r�C,� rfx 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: I
1. Owner of Property,,,r^ ' S f 4 I31 n� Address of Owner
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2. Location of Propertyj9( Oe 03 M ,A t�� Lot. No.
3. Type of Structure W e Lw4n No. of Bedrooms 2)
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Zj Lavatories ol, Bathtubs f
Showers / Kitchen Sinks_ _ Laundry Tubs_L Garbage Grinder Other
6. Liquid Capacity of Septic Tank/U b Material of Septic Tank
7. Soil Conditions: Type of Soil C.1e4!/ Maximum ground water table S-
(Sa ,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well 95 from adjacent wells f I'
9. Distance to nearest water course, drainage ditch, storm drain or embankment f .Sd @
10. Percolation Tests: Time for 1" drop in soil test M►#Y-T Classification of soil
11. Minimum square feet of effective seepage area required_Jr�fa $x
12. Leaching System: Number of trenches Length Width Total I ��
Other
Signature cs� 4,0-Wcc t
_(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By U
�Installation Completed, Inspected and Approved :ter ' c^cr_ 19 By
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