HomeMy WebLinkAboutSeptic New 115 Hilton Drive' TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to fivAm&etRepair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date_ 3- .a. 2 - Gd— 19
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 o t- Mae- kr,V Address of Owner.- e/IaA/
2. Location of Property�1 /� 1 f�_� „�� r/ i-11F-P Lot. No.
3. Type of Structure lei . 11&�-a No. of Bedrooms_
y(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_/
5. Plumbing Fixtures: Water Closets _ Urinals Lavatories _ Bathtubs_
Showers_ Kitchen Sinks` Laundry Tubs_ Garbage Grinder____ Others l✓
6. Liquid Capacity of Septic Tank s L} Material of Septic Tank_C--) c re
7. Soil Conditions: Ty
pe of Soil Jf4 4 Maximum ground water table �
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well /ie from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment 1�
10. Percolation Tests: Time for 1" drop in soil test s_Q4 ik:-Z f Classification of soil
11. Minimum square feet of effective seepage area required 71'/
i
12. Leaching System: Number of trenches '/ Length fG'f/4/1 -y/-Y2 Width D Total /6 Si X .3d
Other /s-a f
Signature,���
(Licensed installer)
(Sketch showing all minimum distant and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By