HomeMy WebLinkAboutSeptic New 347 Felt Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Applic 'on No.
TO THE BUILDING DEPARTMENT: Date 19
A permit is requested for repair or construction of an individual sew disposa system concerning which the
following information is submitted:
1. Owner of Property Address of Ow er
2. Location of Propert ta—ffLT Lot. No.
3. Type of Structure No. of Bedroom
welling,Commercial Building,Store,etc.) s
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 Material of Septic Tank
7. Soil Conditions: Type of Soil t. Maximum ground water table
Sand, rave Z y,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 rain or embankment
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 Z Width_ Total
GO o
Other
Signature
(Lic s sta )
(Sketch showing all minimum distances and other details re ed below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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LOT ,# 192, BIRCH HILL ESTATES
SECTION #4
TOWN OF SOUTH WINDSOR , CONNECTICUT
S C ALE: 1" = 40'
L.S. #4395
MAY 1 G, I �� Y Rockville , Conr
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