HomeMy WebLinkAboutSeptic New 18 Dower Road TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application o._
TO THE BUILDING DEPARTMENT: Date 19 W 7
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 Mrs . Edna Jacobs Address of Owner lg Dower Rd.
2. Location of Property 18 Dower Rd. Lot. No. �r
3. Type of Structure Dwelling No. of Bedrooms
(Dwelling,Commercial uilding,Store, .)
t
4. Number of Families or Persons to Occupy Premises
5. Plumbing Fixtures: Water Closets 1 Urinals Lava ories Bathtubs
Showers r Kitchen Sinks �' Laundry Tubs Garbage Grinder Other
6 Liquid Capacity of Septic Tank 750 Gal. Material of Septic Tank Concrete
7. Soil Conditions: Type of Soil Sand Maximum ground water table 6 Ft.
Public
( and,Gravel,Clay,etc.)
_
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 None in local area
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required Repair job/addition
12. Leaching System: Number of trenches 1 Length 50 f t. Width 30 tt Total 50 t lineal
Other 8 ft. drywell with 4 ft. concrete block cor
� 411
t
Signature
( nae ns ler)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed,Inspected and Approved del�lc—aRaAi2 19 L' By
e
_- 1 so,
S
e
1
1
1_
1
a s'