HomeMy WebLinkAboutSeptic New 477 Griffin Road TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage. .Disposal System
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Application No. o�lpQ
TO THE BUILDING DEPARTMENT: Date_ 7:'
Ja 19r `
A permit is requested for repair or constructioh of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property Address of Owner
2. Location of Property Lot. No.�_
3. Type of Structure
(Dwelling,commercee uuding,Store,ete.) No. of Bedrooms-
4. Number of Families or Persons to Occupy Premises_
5. PlumbingFixtures: Water Closets t� Urinals t.-�r.,..a Lavatories Bathtubs _
Showers - Kitchen Sinks ( Laundry Tubs Garbage Grinder ') Z Other
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6. Liquid Capacity of Septic Tan r-.t Material of Septic Tank 0 fd I.
7. Soil Conditions: Type of Soil g k- ?. - ,f Maximum ground water table_,
nd,Gravel,clay,etc.)
8. If not served by public water supply: Distance from Owner's well ` from adjacent well
9. Distance to nearest water course, drainage ditch, storm drain or embankment_ 1 �
10. Percolation Tests: Time for V drop in soil test 1'LO + (I-) g Classification of soil'
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11. Minimum square feet of effective seepage area requiredr
12. Leaching System: Number of trenches Length.3 S-111 Width_, Total IU '
Other
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Signature f
(LicensedInstaller)
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By V
Installation Completed, Inspected and Approved By
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