HomeMy WebLinkAboutSeptic Repair 1861 Ellington Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT t�►—
South Windsor, Connecticut
Application for Permit to • w-Repair Individual Sewage Disposal System.
Application No, 490 /��,,,J�'
TO THE BUILDING DEPARTMENT: Datehdispo
, 1 19 '
A permit is requested for repair or construction of an indivi
following information is submitted: dual sewag 1system concerning which the
1. Owner of Property�OQ a p+u v e r Address of Owner
2. Location of Property i if!/ o4E46 i�I'd A/- Lot. No.
3. Type of Structure_ ddi^ No. of Bedrooms_ 3�
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_oe Aa 'i Ile,iv
5. Plumbing Fixtures: Water Closets_ Urinals d Lav tories _ Bathtubs—_
Showers__ Kitchen Sinks�� Laundry Tubs_—lIarb a rinder Other
6. Liquid Capacity of Septic Tank &46 — .4 Material of Septic Tank en���«Te
7. Soil Conditions: Type of SoiGravel,
Maximum ground water table_ —Ie/
Sand,Grav ,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well;Zr,—/ from adjacent wells �d
9. Distance to nearest water course, drainage ditch, storm drain or embankment.- T` S c /
10. Percolation Tests: Time for 1" drop in soil test J ',,ft 4&4r Classification of soil 14
11. Minimum square feet of effective seepage area required J 7,r `
12. Leaching System: Number of trenches_,_ Length . Width _,I � Total 1,6 A !�y .3
Other J�ff
Signature�/ ;
�9(f.ic sed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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