HomeMy WebLinkAboutSeptic New 129 Farmstead Drive TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date *4 19��
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 ion, 4s e.•44- all _Address of Owner /z
2. Location of Property- -evT� �AJI ., �lo� ( �q � Lot. No.,/ Gam'/
3. Type of Structure !�3 1 a 1c. �aw, ,n rJ w s.J i' I x Ci, No. of Bedrooms_
(Dwellin ,Commercial Building,Sibre,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets / Urinals Lavatories / Bathtubs _
Showers_ Kitchen Sinks Laundry Tubs Garbage Grinder Other. o r.Ja' o..r
6. Liquid Capacity of Septic Tank/0Oa Ga11 Material of Septic Tank .+- ..—.—�-a..
7. Soil Conditions: Type of Soil I. d Maximum ground water table
(Wand,Gravel,Clay,etc.) c
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 / O O
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches_ Length Width 3 a Total �d
Other
Signatur G
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
a.
Bptk-4;It
E
F li' A 40 i
fA
7r tf 3r .Y ''✓
Permit Issued 19 By
Installation Completed, Inspected and Approved d 1r)A 1966 By
r3PI Asa' i3a
t
� I
I I �
' r
,
I
I
'E7 L-,c�sr�.aq i
4
r