HomeMy WebLinkAboutSeptic New 148 Farnham Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date C C 3 19 -06
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 C. Q92A2g!,(j d2 f E-91 Address of Owner
2. Location of Property r92M r Lot. No.
3. Type of Structure T)2J EL..L J AJ-Ll No. of Bedrooms
(Dwelling,Commercial Building,,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ /` i—�/1 �
5. Plumbing Fixtures: Water Closets .1 Urinals Lavatories�� Bathtubs_
Showers_ Kitchen Sinks__ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 7`')'40 Material of Septic Tank !7O eE7-
7. Soil Conditions: Type of Soil —,:5:!-1 0 Maximum ground water table_ -7
(Sand,Gravel,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
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required Sv
12. Leaching System: Number of trenches .2* Length g7 6 Width vZ G Total VO4, 8
Other
Signature
( cen a Installer)
(Sket # showing all minimum istances and other details required below)
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F/vE AU7- Cs''J Tnwga&S
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FA2NHA&i RoAn
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By