HomeMy WebLinkAboutSeptic New 340 Diane Drive TOWN . GF- SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application N .
TO THE BUILDING DEPARTMENT: Date 19
A permit is quested for repair or construction of an individual sewage dispo a system concerning which the J
following information mitted: �o�le�fe$
1. Owner of Propert A dress of Owner
2. Location of Property -+� , Lot. No.
3. Type of Structure No. of Bedrooms
(Dwelling,Comm rc 1 Building, re,et¢.)
4. Number of Families or Persons to Occupy Premises
5. Plumbing Fixtures: Water Closets <�' - Urinals atories Bathtubs`
Showers_Z Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank_ /Z 10-4Material of Septic Tank�r
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Clay,et ,,)_ (,
8. If not served by public water supply: Distance from Owner's well AeeAL 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
12. Leaching System: Number of trenches Length�,�_ Width- Z/ / Total O/
Other
Signature '
ensedIn taller)
(Sketch showing all minitn�um distances and other details re wired below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 10 By
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