HomeMy WebLinkAboutSeptic New 328 Felt 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
19�
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: f /
1. Owner of Property Address of Owner ,?A
3 ZO ,`
2. Location of Property e 1,41 X-4 2 rf.4 Lot. No.�/_
3. Type of Structure f l No. of Bedrooms t/
(Dwell' g,Commercial Building,Store,etc.)
--No.
Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories_ Bathtubs_
Showers_ Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank f--' Material of Septic Tank t-, ire, E Y►'d`al
7. Soil Conditions: Type of Soil Maximum ground water table
(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 z Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width-- G/ Total Q
Other OR
Signature,-
(Licensed l starer
(Sketch showing all minimum distances and other details requir ow)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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