HomeMy WebLinkAboutSeptic New 1245 Ellington Road ow
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. -;Pa
TO THE BUILDING DEPARTMENT: Date_ / Z,C 19 A-!k-_
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Proper ty_�`�sZ Address of Owner. 6~0��c.✓
2. Location of Property _(' �� / Lot. No.
3. Type of Structure No. of Bedrooms •�
(Dwell ,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ AW-I J.ftJI/
00,
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder 0 Other
6. Liquid Capacity of Septic Tank 9 0,0 a.4( Material of Septic Tank &Z
7. Soil Conditions: Type of Soil .d..s--,ol- Maximum ground water table --�
(Sand,Gravel,C y-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
10. Percolation Tests: Time for 1" drop in soil testAlze Azii ,Z_Classification of soil
11. Minimum square feet of effective seepage area required r /we`e%
12. Leaching System: Number of trenches J Length Widt ♦ Total_ +
Other
Signature
(Licenser I staller)
(Sketch showing all minimum distances and other details required below)
i
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
t?
s �P
o
0 00�
't
n7Q t`o/
�6
� � -5- a � ���- r�rrov��d �✓�cf�t �a�� ,�
C 2 Pj J M1
I/
900
ST.t/wE Z -5-s3,CP
Fo•�
Cow
t��c3fi� Jriv.vl vio<.g r�v iPeirtho%t�lif/��r/L. 1
( .. C ra by J-9 �lr. T � 4� � - .� '.. '' _ 1 ,. _ f , l; � � �,�,.•