HomeMy WebLinkAboutSeptic New 649 Deming Street r
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'^ TOWN OF SOUTH W1 N DSOR $ y 7y ' '
BUILDING DEPARTMENT 3v2 `
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date@Xl� 1
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1
1. Owner of Property—,Q�= Address of Owner
2. Location of Property Lot. No.
3. Type of Structure No. of Bedroomsy�_
(Dwelling,Coi rcial Building,Xe,etc.)
4. Number of Families or Persons to Occupy Premises_ a
5. Plumbing Fixtures: Water Closets_ Urinals_ Lavatories_ Bathtubs_
Showers_ Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well kass' from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment_ y d JA;77
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches C7 Length Width / 3 Total 0� � Q A
Other
Signature •
(Licensed Ins ler)
(Sketch showing,all minimum distances and other details req red below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By