HomeMy WebLinkAboutSeptic New 00 Foster Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal Pstem
Application No,
TO THE BUILDING DEPARTMENT: Date lD Z,� ' 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
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1. Owner of PropertyZ Address of Owner
2. Location of Property 4/ Lot. No.
3. Type of Structure No. of Bedrooms
( elling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Oc py Premises_ �2-
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs _
Showers_ Kitchen Sink Laundry Laundry Tubs Garbage Grinder_ Other
6. Liquid Capacity of Septic Tank L— C b Material of Septic Tank � <- Y .e
7. Soil Conditions: Type of Soil i Maximum ground water table
(Sdhd,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well /Y from adjacent wells �J
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test 7- Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width --?0 Total Jr(J
Other
Signature
ensed Installer
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
4"
Installation Completed, Inspected and Approved�� 19 By
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