HomeMy WebLinkAboutSeptic New 61 Hilton Drive TOWN OF SOUTH WI N DSOR �✓'� �,
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System 97`
Application No.
TO THE BUILDING DEPARTMENT: Date J_ 19 `
A permit is requested for repair or construction of an individual sewage disposa system concerning which the
following information is submitted:
1. Owner of Propert rre_ 2 ELI I Address of Owner
2. Location of Property. o �-� i 5 a s� ,-,..i Lot. No.-
3. Type of Structure__ 'JLO 1 No. of Bedrooms
'I Dwelling,,Commercial BuHaing,f1tore,etc.)
4. Number of Families or Persons to Occupy Premises
5. Plumbing Fixtures: Water Closets Urinals 'T' Lavatories _—1Bathtubs 1
Showers_ Kitchen Sinks,_ Laundry Tubs -- Garbage Grinder Other_ ,�,z _-1 gL,
1 _I,va eY
6. Liquid Capacity of Septic Tank/�O O o �'3 Material of Septic Tank ('°.o v, r� .
7. Soil Conditions: Type of Soil � a r a Maximum ground water table-
and,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_- 3 �Q
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length4,0 Widthc7 Total /_Sb
Other
Signature
tLicensed Installer)
(Sketch showing all mi/+nimum distances and other details required below)
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Permit Issued 19 By y
Installation Completed, Inspected and Approved 66 ARV 19 6G By