HomeMy WebLinkAboutSeptic New 00 King Street (6) TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. /
TO THE BUILDING DEPARTMENT: Date l —.3--- 19�
A permit is requested for re air or construction of an individual sewage disposal system concerning which the
following information is sub itted: ,, // `�
1. Owner of Property Address of Owner .14 e ItX
2. Location of Proper Lot. No.
' 3. Type of Structure No. of Bedrooms
(Dwellin7ses�—
mercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Pre
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs—
Showers / _ Kitchen Sinks Laundry Tubs ,L Garbage Grinder/V� Other,/
6. Liquid Capacity of Septic Tank Zee Material of Septic Tank CDDiY A 7. Soil Conditions: Type of Soil tae / Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by
public water supply: Distance from Owner's wel from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment �a
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 13 Length Widt �o? Total
Other
Signature
(Licensed installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
PLOT PLAN FOR
JAMES MITKIE
SOUTH WIHDSOR, CONN.
Scale i er_)e 0 T Apr. 1 5, 1 q64
f
N
Note ;
There is r.o building built
Therefore therein r.o violations
_ of th � zonir.z, ordinances .
9v
�d
-�C57�tCT�.
. 6 t�
as -
ML3,
Q .
TS4�to•
S T �� tHEREBY CERTIFY THAT THIS 14AP
IS SUBSTANTW—L.Y CORRECT