HomeMy WebLinkAboutSeptic New 64 Gordon Drive a: L
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__ 19
A permit is requ ted for r pair or construction of an individual sewage disposal system concerning which the
following information is su itted:
1. Owner of Propert Address of Owner
2. Location of Pro erty �« JL-Lot. No. _
e
i 3. Type of Struct Ll9e
No. of Bedrooms
-
(Dwell g, ommercial Building,S ,etc.)
4. Number of Families or Persons to Occupy Premises_ ?
5. Plumbing Fixtures: Water Closets Urinals Lavatories_ ✓ Bathtubs
Showers Kitchen Sinks r Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank
7. Soil Conditions: Type of Soil 4kWMaximum ground water table
(Sand, ravel,Clay,eterl
r
8. If not served by public water supply: Distance from Owner's wel -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 �� gJ
12. Leaching System: Number of trenches 13 Length Width Total
Other
Signatur
icensed 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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