HomeMy WebLinkAboutSeptic New 459 Foster Street T OF SOUTH WINDSOR TOWN
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date. /UG�U iYl l am``•i9
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 ✓ /C /J�Address
�of Owner
2. Location of Property, + Q �% L l Lot. No.
3. Type of Structur Al No. of Bedrooms
(Dwelling,Comm/er
rcial Building,Store,etc.) r n p tt
4. Number of Families or Persons to Occupy Premises V
5. Plumbing Fixtures: Water Closets__ Urinals Lavatories- Bathtubs
Showers Kitchen Sinks Laundry Tubs arba Grinder . Other --�
6. Liquid Capacity of Septic Tan e012 iMi, Material of Septic Tank
7. Soil Conditions: Type of Soil '! C, Maximum ground water table
(Sand,Gr vel,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 �✓
!/n
10. Percolation Tests: Time for 1" drop in soil test �TjG'Ls Classification of soil 1�
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches / Length �S Width Total 4MR4
Other C E7 4-0 Q-&57�' 6 04
t r
t
Signatur
License staller)
(Sketch showing all minimum distances and other details required below
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Permit Issued 19 By. ai
Installation Completed, Inspected and Approved 19 By
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