HomeMy WebLinkAboutSchool New 290 Foster Street TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal Systemo��
Application No.
TO THE BUILDING DEPARTMENT: Date cS- 9' l 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. Zodp1 Address of Owner
2. Location of Property c2 90 �
Lot. No.
3. Type of Structure No. of Bedrooms
(Dwelling,CO mercial Building,Store,etc.) /
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 7— Urinals Lavatories Bathtubs_ I
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank /L'o c✓ Material of Septic Tank min � .-
7. Soil Conditions: Type of Soil 9 l Maximum ground water table_, &_(1,_
(San 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 ,�. Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length o Q d Width 5f Total OBI
Other
Signature
Licensed Installer)
4
(Sketch showing all minimum distances and her details required below/
Permit Issued 19. By
Installation Completed, Inspected and Approved 19 By
I
t
Y I
k//LL 1A/'7 ,SM/
I y�1 00
47
.�fJ.0'� 4 � • ' ?.f Jgr�n' �'C�ar
�0 ►a
aa, i G c�ro ✓c/
s�ohe
o_
/.� /3S. oo
/vo
9r017/Pry Aoo <?o/2 r ,1l�'v�r�Tad
Sc/k5/a I✓ �� e r
M