HomeMy WebLinkAboutSeptic New 335 Felt Road 1
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--_ o�_-
91 19 G C�
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
J i
1. Owner of Property f Z AZ44-r
ss of Owner_- � f P -
f h S k
2. Location of Property r r � — i 33S a917 Lot. No. /
3. Type of Structure N51 No. of Bedrooms
(Dwelli Y,
Commercial Building,Store,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
6. Liquid Capacity of Septic Tank 1 Material of Septic. Tank l cr h c V -gA V
7. Soil Conditions: Type of Soil Maximum round water table
(Sand,Gravel,Clay,etc.) g
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 a �( Classification of soil
11. Minimum square feet of effective seepage area requiredi�
12. Leaching System: Number of trenches Length Width C � Total 40� C/
Other �✓� ���, t 77�
Signature )
(Licensed Install
(Sketch showing all minimum distances and other details required below)
r %
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By