HomeMy WebLinkAboutSeptic New 583 Foster Street TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application_No.
TO THE BUILDING DEPARTMENT: Date_ ��rl
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is subm' ted: ���,Q G� PwSY.IA",41
1. Owner of Property Address of Owner
sn
2. Location of Propert Lot. No. y Y
3. Type of Structure No. of Bedrooms
(Dwelling,Co rcial Building tore,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories— -a Bathtubs
Showers_ Kitchen Sinks 1/ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 49t" Material of Septic Tank
7. Soil Conditions: Type of Soil - Maximum ground water table
(Sa rave,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well from acjjacent 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 77
12. Leaching System: Number of trenches 3 Length Width_LTotal
Other 7
Signature d
(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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