HomeMy WebLinkAboutSeptic New 285 Main Street 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.
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: f�
1. Owner of Property ! r " —Iev ddress of Owner
2. Location of Property 0`9�� WW- " �;� Lot. No.
3. Type of Structure oe No. of Bedrooms
(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 Other /�
6. Liquid Capacity of Septic Tan ,sry Material of Septic Tank /-f
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gra el,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
10. Percolation Tests: Time for 1" drop in soil tests Classification o so'
11. Minimum square feet of effective seepage area required V X J 2
12. Leaching System: Number of trenches ' Length .�`°1 Jeldth 3 0 r Totalr
Other
Signature
(Licensed Installer)
(Sketch showing all minimum distances and o er details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved /��E elm Q E✓L 19-!�Y— By