HomeMy WebLinkAboutSeptic New 453 Foster Street TOWN OF SOUTH 1 D. ._ W N SOR g� �-
BUILDING DEPARTMENT
40
South Windsor, Connecticut ZP
Application for Permit to Install or Repair Individual Sewage Disposal System .
Application o.
TO THE BUILDING DEPARTMENT: Date
A permit is requested for repair or construction of an individual sewage disp sal system concerning which the
following information is submitted:
1. Owner of Property_G'lil t 11 i-ati,- ff Address of Owner .` :4,
2. Location of Property'Y ';,3 / :f--!n Lot. No.
3. Type of Structure.
No. of Bedrooms
I. (Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ fey
5. Plumbing Fixtures: Water Closets Urinals Lavatories_ Bathtub is_
Showers Kitchen Sinks / Laundry Tubs Garbage Grinder Other. LJzb 1�, ar•
6. Liquid Capacity of Septic Tan 5'0 CAL—D) M �aterial of Septic Tank �� � a-
7. Soil Conditions: Type of Soi C�&SS A Maximum ground water table _4
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well w>>'., . from adjacent wells v n;
9. Distance to nearest water course, drainage ditch, storm drain or embankment 72
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required ! `f
12. Leaching System: Number of trenches Length 15 Q r Width .3 Total !
Other
' • Signatur
(Aketch.Aowing all minimum distangeg and other details required below)
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Permit Issued 19 By
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Installation Completed, Inspected and Approved By