HomeMy WebLinkAboutSeptic New 499 King Street r�
�o TOWN OF SOUTH WINDSOR
BUILDING� DEPARTMENT e
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date._ Ca 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 X)cJJSA A' Address of Owner_
2. Location of Property ai'"`/i k1 n/G f 7-
Lot. No.
3. Type of Structure_ c_,VE -,g, IlAz.,- J:ziVyy k2V I clr fYd t;ta No. of Bedrooms_:Z
(Dwelling,conwnercial Building,store,etc.)
4. Number of Families or Persons to Occupy Premises_ C'>w:,= �iJr//�y - vF' /�-/� 6AIJ
5. Plumbing Fixtures: Water Closets r Urinals Lavatories Bathtubs %
r ,i.
Showers_ Kitchen Sinks_ Laundry Tubs Garbage Grinder Other ..;rr-A.,,vr,-
6. Liquid Capacity of Septic Tank. /zi 6 6 Material of Septic Tank
7. Soil Conditions: Type of Soil w.a.orr' JIOVA:zj Maximum ground water table_ „7cl
(Sand,Gravel,Clay,etc.)
(_',;V L U,4 7Ei�
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 //C',
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 Length Width Total r-1X0 S r
Other
Signature ! '
( In er) .. Y17771
(Sketch showing all minimum distances and other details required below)
.foo To �
Dry well
�' Tar /�dper
2 ,tea. Zbvef from Brook y i�r ° q
30'Lowy 3o—s: a .ldnw
' 3 ' >:/e
i
r 2J E,G r /ny Orr well mo s o
11 S7, �` C.r. n
a
4,
AR amal
r
. , , A/C STr:Tc7-
Permit Issued 19 By IP14 w
Installation Completed, Inspected and Approved 19� By