HomeMy WebLinkAboutSeptic New 106 Farnham Road TOWN OF SOUTH WI N DSORe-
BUILDING DEPARTMENT le
South Windsor, Connecticut
Application for Permit to or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date — /Cl ` 19
A permit is requested for repair or construction of an individual sewage disp sal system concerning which the
following information is submitted:
1. -Owner of Property-ll" -L'f 'e tQ.r Address of OwnerA.6—���
2. Location of Property / G 4-1 Lot. N�o:
3. Type of Structure No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises: / lda, �t`f�v
5. Plumbing Fixtures: Water Closets -- Urinals Q_ Lavatories_` Bathtubs _
Showers / Kitchen Sinks_,_ Laundry Tubs Garbage Grinder_ Other, 0
6. Liquid Capacity of Septic Tank Z1 4 Material of Septic Tank C6,10-c,-a&
7. Soil Conditions: Type of Soil Ar',d/V k Maximum ground water table
{ etc.)
and,Gravel,Clay,
8. If not served by public water supply: Distance from Owner's well0&�4'l c from adjacent wells/�_
9. Distance to nearest water course, drainage ditch, storm drain or embankment 7 :'"j D d
10. PercolationrTests: Time for 1" drop in soil test ;20 141 Classification of soil_
11. Minimum square feet of effective seepage area required n 7-
12. Leaching System: Number of trenches Length ,sj � Width 3 G Total ZUZ,r 3 X
Other
Signature a em�s,, � {(
(Mceftdd Iffstaller)
(Sketch showing all minimum distances and other details required below) L
q�
75� `►
Q
Permit Issued 19 By
Installation Completed, Inspected and Approved 3 }i/_ _ 19 By