HomeMy WebLinkAboutSeptic New 00 Foster Road (4) i
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMEN;T
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:
1. Owner of Property/"),-a & la /47 Address of Owner_FD 5 T-L fi! f41�S/, k&1 A&Ad ��+�
2. Location of Property Ph S 7'F J QW'-t.fr� -Z 4 , Lot. No.
3. Type of Structure No. of Bedrooms2_
(Dwelling,Cotplercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ -&4 ho yt
5. Plumbing Fixtures: Water Closets 2 Urinals 2Z4ku2 — Lavatories ? Bathtubs I
Showers Kitchen Sinks__ Laundry Tubs Zu!2%9_ Garbage Grinder-,al%p_ Other
6. Liquid Capacity of Septic Tank /i— D Material of Septic Tank &,Cdt ,4�7-
7. Soil Conditions: Type of Soil f Maximum ground water table /
174
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well 7sJ: 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,&I ^.? 22Y � Classification of soil����
11. Minimum square feet of effective seepage area required 3 7�5
12. Leaching System: Number of trenches Length zj7y Width, Total
Other /J 01 Z/ ,3�'� "*A e
Signature
Licensed s r)
(Sketch showing all minimum distances and other details req red ow)
a
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
F
f
1 i .
I I .
i
-,9yN
NA
fj
rD
s- �w �. ►-i 7 '*' �'� S. ti.kF�. ��, C PA'o r A.r o u a
'� w4 1"
L.tE t D So R C 4 M t t
LOA 7-R PP6-P i,.+vr 0-wt tom; '
o5 A s o ra :S j FE 6 S' ko
I CER''i J. THAT THIS L►'J.A
IS S°J de �;S"; .��: I l�eElY CORRECT.
. 3
n73� ' • z
A �''{' "T' 3 �7 A�f'.ct./Tc NO 0 l (; ,0R BUILDING, LINE
s.
v
ORDINANCE VIOLA I IONTS.