HomeMy WebLinkAboutSeptic New 146 Hillside Drive b w _
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TOWN OF SOUTH WINDSOR
' BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date /2 "'-7-47 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
I. Owner of Property Address of Owner
2. Location of Property ��O ���^� ¢�/ Lot. No. X.7
3. Type of Structure
O. Of Bedrooms
(Dwelling, mmercial Building,Store,etc.) N
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 2-- Urinals Lavatories ?✓ Bathtubs_
Showers ! Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank_ o Material of Septic Tank 1 O ;,,/ )
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's 7embankmen
from adjacent wells
9. Distance to nearest water course, drainage ditch, storm draint
10. Percolation Tests: Time for 1" drop in soil test- Zilx Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches 2i Length�� � Width,-
Total
Other
Signature
(Licensed Inst ler)
(Sketch showing all minimum distances and other details required belo/*)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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