HomeMy WebLinkAboutSeptic New 109 Hilton Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to U9560w Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date /A 19 Z7
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: / h
1. Owner of Property N y_ r e C r I Address of Owner
2. Location of Property,P/9/►J - Lot. No.
3. Type of Structure 6c4, i'el-0 No. of Bedrooms 3
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ FG hi, `/tom
5. Plumbing Fixtures: Water Closets 2— Urinals 0 Lavatories Z Bathtubs _
Showers_ _ Kitchen Sinks�� Laundry Tubs_Z Garbage Grinder__ Other
6. Liquid Capacity of Septic Tank 7�_5 6 ,� Material of Septic Tank_C U/YC r'-e-7-
i
7. Soil Conditions: Type of Soil Maximum ground water table —
(Sank,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well v 1i c from adjacent wells gQ 4,J//C
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test 3 /P►i /Y Classification of soil
11. Minimum square feet of effective seepage area required 13 7S�
12. Leaching System: Number of trenches
// y-Length-, 3o/' Width Total
Other O ri /n a C,
Signatur _LZ k
(License Installer)
(Sketch showing all minimum distances and other details required below)
Saw SM& 1004 -Door&,
I
LstPermit Issued 19 By
allation Completed,Inspected and Approved 4aroc'VAMot 19-q— By
t � ___
�1
�� �
� �`
r
i '
� � �
��
. �
� �
� � �s
i � � . �
� � � �
i� ��
., _
u�'� �� ��
��
�.��� ��ivF'