HomeMy WebLinkAboutSeptic New 97 Farmstead Drive r
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT C Z7
South Windsor, Connecticut d�
Application for Permit to Install or Repair Individual Sewage, Disposal System
Application. No:
TO THE BUILDING DEPARTMENT: Date
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner-of Propert -$,P JA C4ems v Address of Owner 7 �
2. Location of property 9 iErZ— `4c v
Lot. No:
3. Type of Structure _T>G►3 .,I/I:,o No. of Bedrooms_
(Dwelling,Commerciall Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises fl
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs _j
Showers[ Kitchen Sinks,_ Laundry Tubs —T"' Garbage Grinder Other 1A t7T tY��.,
6. Liquid Capacity of Septic Tank 90 b 19 t Material of Septic Tank_
7. Soil-Conditions: Type of Soil Maximum ground water table Lo!
(Sand,Gr vel,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 CQ
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
1 11. Minimum square feet of effective seepage area required
_.> 12. _Leaching System: Number of trenches Length- 8•S" Widtk—,3-0 _ Total -3/ Z
Other
Signatur
( censed Installer)
(Sketch showing all minimum distances and other details required below)
It ie r :r g
0 � W x � �
' x
Permit Issued 19 /By
Installation Completed,Inspected and Approved 19 66 By