HomeMy WebLinkAboutSeptic New 21 Hilton Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to INNMkw Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date 19��
A permit is requested for repair or construction of an individual sews dis sal system concerning which the
following information is submitted:
1. Owner of Property Address of Owner / _ Z!�,
2. Location of Prope y 9���/ 0119-1 c_rrP Lot. No.
3. Type of Structure lu[vc No. of Bedrooms_
(Dwelling,Commercial Building,Store,
(netc.)
4. Number of Families or Persons to Occupy Premises_,
5. Plumbing Fixtures: Water Closets Urinals _ Lavatories Bathtubs
Showers(_ Kitchen Sinks__ Laundry Tubs — Garbage Grinder Other U
6. Liquid Capacity of Septic Tank n Material of Septic Tank O_o-tee,,o
7. Soil Conditions: Type of Soil_Afxd,Q Maximum ground water table_
(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 7L
10. Percolation Tests: Time for 1" drop in soil test 3 e!On.t, Classification of soil 4:
r
11. 'Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width 30 Total
Other
Signature c-..,.._
Lic used Insta er)
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By