HomeMy WebLinkAboutSeptic New 00 Governor's Highway (6) + y 7 ,
TOWN' OF+ SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System-���//y}
Application No. I
TO THE BUILDING DEPARTMENT: Date /41 / 19
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A permit is requested for repair or construction of an individual sewage disposal system concerning whic the
following information is submitted:
1. Owner of Property Albert J. Schneider Address of Owner
2. Location of Property 4 6 Lot. No.
3. Type of Structure Industrial No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 5 Urinals 2 Lavatories 2 Bathtubs None
ShowersNone Kitchen SinksNOne Laundry Tubs None Garbage Grinder NOne Other
6. Liquid Capacity of Septic Tank 1500 Material of Septic Tank Concrete
7. Soil Conditions: Type of Soil Sand Maximum ground water table
(Sand,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 1 minute Classification of soil A
11. Minimum square feet of effective seepage area required 250 square feet
12. Leaching System: Number of trenches 4 Length 5 Width 2.5 Total 5 0 0 sq.- ft.
Other
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved lg BY
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