HomeMy WebLinkAboutSeptic New 1062 Ellington Road AW r -
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date 1- 4 — Z 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 y!T� 2,tq,rV C n Address of Owner
2. Location of Property C L i 1/(6 7'O iY ��t J",, ty tk DES c Lot. No.. 1- 3
3. Type of Structure &q C f.- eri V om No. of Bedrooms—
(Dwelling,Commercial Building,Store,etc.YJ
4. Number of Families or Persons to Occupy Premises_ i9 Mi Z k
5. Plumbing Fixtures: Water Closets Urinals Z Lavatories Z Bathtubs 2—
Showers Z Kitchen Sinks` Laundry Tubs__ Garbage Grinder Other
6. Liquid Capacity of Septic Tank. Material of Septic Tank
7. Soil Conditions: Type of Soil 10 Maximum ground water table
(Sand,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_ Z �;
10. Percolation Tests: Time for 1" drop in soil test X2�S" Classification of soil
11. Minimum square feet of effective seepage area required/ C C?
12. Leaching System: Number of trenches . Length /Z Width 2 Total 4 -e V
Other
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Signatur, �'•"... _ �-'
�(Ucen.�iL.ler)'
(Sketch showing all minimum dis ncp and other details required below)
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pit , 3 Z
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Permit Issued 19 By
Installation Completed, Inspected and Approved 10_ By