HomeMy WebLinkAboutSeptic New 1678 Ellington Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date. 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: O 7/741
1,01
1. Owner of Property Address of Owner
2. Location of Property Lot. No.
3. Type of Structure No. of Bedrooms
(Dwelling,Commercial Building,Store,-etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures:®Water Closets %1 Urinals • Lavatories _ Bathtubs
Showers Kitchen Sinks Laundry Tubs_ Garbage Grinder Other
6. Liquid Capacity of Septic Tank _.3� Material of Septic Tank �p i+1 Cry 4 T6'
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 40 0 from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment .G 00
10. Percolation Tests: Time for 1" drop in soil test Ce X945 Classification of soil C 4 Ae.Vael-
11. Minimum square feet of effective seepage area required ,,,�t�
12. Leaching System: Number of trenches Length Width Total
Other
Signature CGG
( icensed in.
(Sketch showing all minimum distances and other details required below
iL4 $b
�b
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
tea'
J L Lilt
J14 �7
I
I �
�9
Cz�•lsJ�7�iJ �a