HomeMy WebLinkAboutSeptic New 30 High Street 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 �d - Z6 19 t:&
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 G r1C- I,tJ L�j+.fi-P Address of Owner I� .y��-• �� cd r
2. Location of Property3,0& � �J 4 T Lot. No. 49
I Type of Structure .y6.. ¢ r n No. of Bedrooms _
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ 'u
5. Plumbing Fixtures: Water Closets 1- — Urinals Lavatories _ Bathtubs_ _/_
Showers �_ Kitchen Sinks_ Laundry Tubs Garbage Grinder_ Other O 6. Liquid Capacity of Septic Tank A V Material of Septic Tank C'f c e,.e Cie
ie
7. Soil Conditions: Type of Soil4,iGra ( ,Clay,etc.)
1 e Maximum ground water table_ /Q
( and
8. If not served by public water supply: Distance from Owner's well from adjacent wells
I
9. Distance to nearest water course, drainage ditch, storm drain or embankment��s"U C�
10. Percolation Tests: Time for 1" drop in soil test 1h—ry Classification of soil A
11. Minimum square feet of effective seepage area required a 7s
12. Leaching System: Number of trenches Length.3U — .�0 Width _�d �� Total �S A r 3d�
y �50 -
Other //►� ( l
Signature'ey -- l 4a.e�- •-- e
( censedInstaller)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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