HomeMy WebLinkAboutSeptic New 00 Ellington Road (7) TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No._ f
TO THE BUILDING DEPARTMENT: Date _ at,` 19 49
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 w Address of Owner. 5-47 �✓ o�9-c� �/�
2. Location of Property /�,_ Lot. No. .Z
3. Type of Structure �-7 No. of Bedrooms
(Dwelling,Con rcial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ ooA A.Iti
5. Plumbing Fixtures: Water Closets 2- Urinals Lavatories_ Bathtubs
Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder_. Other
6 Liquid Capacity of Septic Tank_9d p Material of Septic Tank_d2
47
7. Soil Conditions: Type of Soil__,/4"l- A Maximum ground water table
(Sand,Gravel,Cla ,etc.)
8. If not served by public water supply: Distance from Owner's well from adjacent wellsl;��_,,��_
9. .Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil testA-ZL AzId., Classification of soil_
11. Minimum square feet of effective seepage area required �--
12. Leaching System: Number of trenches Length 4��Widt -3-0 y Total .530
Other
Signature '
(Licensed Uled
er)
(Sketch showing all minimumdistances and other details r below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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