HomeMy WebLinkAboutSeptic New 326 Foster Road t
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. / 9av-j-- 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 Address of Owner 3a 40
2. Location of Property - Lot. No.
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3. Type of Structure �1 No. of Bedrooms lzy
(Dwelling, o ercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Prem es P
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers, Kitchen Sinks l Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank (347- °
7. Soil Conditions: Type of Soil (Sand,Gravel,Clay, .) Maximum ground water table
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8. If not served by public water supply: Distance from Owner's well � from adjacent wells .7'/
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for V drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
Len Total J�oG
12. Leaching System: Number of trenches gth Width 7
Other
Signature
(Licensed Installer)
(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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