HomeMy WebLinkAboutSeptic New 371 Felt Road TOWN OF SOUTH Wl N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. 1-0—el�
TO THE BUILDING DEPARTMENT: Date_ `7 '�{r 19
A permit is requested for repair or construction of an individual sewage disposal system concerning whi the
following information is submitted: ` /
1. Owner of Property — Ads of wner If Y�t'"C 1,f A-C
AA -Z2. Location of Proper 1r 'YM )�Z l�T 1`®�+ Lot. No. g
3. Type of Structur No. of Bedrooms
( welling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets w?� Urinals Lavatories Bathtubs
Showers_ Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank gs-7 Material of Septic Tank ,O rtCt� Yd w
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 s r�Classification of soil
11. Minimum square feet of effective seepage area required ,S 0
12. Leaching System: Number of trenches Length _ Width Total
Other
Signature
(Licensed I s er)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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