HomeMy WebLinkAboutSeptic New 197 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. 2ee, / 19
1 A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property m 5/ Address of, JOwner 61 /r,+'
2. Location of Property T®v"" / / P � 977K/ S i 4� e I'- Lot. No..
3. Type of Structure No. of Bedrooms_
(Dwe ing,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises 0 h 2
5. Plumbing Fixtures: Water Closets 7. Urinals Lavatories— Bathtubs i
Showers Kitchen Sinks L Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank,_ Material of Septic Tank � f✓���
7. Soil Conditions: Type of Soil t d e Maximum ground water table 11W e a /®
(Sand,Gravel C ay,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 S oww
10. Percolation Tests: Time for 1" drop in soil test o '51e C Classification of soil
11. Minimum square feet of effective seepage area required
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12. Leaching System: Number of trenches Length/ Width Total 71� 411
Other
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Signature
/ffcensed Install
(Sketch showing all minimum distances and afher details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
MEGSON 6 HYYPPA
CIVIL ENGINEERS
GLASTONBURY. CONN.
N/P 1<,"P 4-, INC.
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