HomeMy WebLinkAboutSeptic New 191 Hillside Drive 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.__
A permit is requested for repair or construction of an individual sewa
following information is submitted ge disposal system concerning which the
1. Owner of Property �,,�C/ Address of Owner (/V !� ,�-®I/r-
a 2. Location of Property_—/�'h v" ����e t9, 49 !'4 ot. No.
3. Type of Structure 2 No. of Bedrooms_
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ On e 4q Vk7 / 41
5. Plumbing Fixtures: Water Closets Urinals Lavatories It
_ Bathtubs_
Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank a-0 0 4 Material of Septic Tank_ e -e �P
7. Soil Conditions: Type of soil Sdr✓td iL M� Maximum ground water table A/dYii P et /- /,
(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_ 1W co � Z•�p-�
10. Percolation Tests: Time for 1" drop in soil test 3e 7" P C I Classification of soil_
11. Minimum square feet of effective seepage area required
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12. Leaching System: Number, of trenches lY Length t'�.-- Width_ Tota w2
Other
Signature
(Licensed Installer)
(Sketch showing all minimum distances a her details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
MEGSON A HYYPPA
CIVIL ENGINEERS
OLASTONSURY, CONN.
KUPG 13POTNE.+< S
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CERTIFIED SUBSTANTIALLY CORRtCTi