HomeMy WebLinkAboutSeptic New 1039 Main Street TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
J
Appli ation No.
TO THE BUILDING DEPARTMENT: Date 19
A permit is requested for repair or construction of an individual sewage disposal system concerning whit the
following information is sub fitted:
n 1 r
. I c�
1. Owner of Property-(, -.� ��.,w6 Address of JOwner. 0 d
2. Location of Property — r .�`� r Lot. No.
3. Type of StructureL�Z �L os- r- _ J /; �-" -: ��rwl, _ No. of Bedrooms
(Dwelling,Commercial Building, ore,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 Tank G' G' Material of Septic Tank J
7. Soil Conditions: Type of Soil Maximum ground water table--.Z-4: --Y_
(Sand,Gravel,Clay,etc.) !� I--
8. If not served by public water supply: Distance from Owner's well ,%5 from adjacent wells .z "-
9. Distance to nearest water course, drainage ditch, storm drain or embankment
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 g Width, i Total 6 L-------
Other
Signature04
Lice stal er)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
LEPHONE JA 8-0988
WILLIAM P. HELM & SON
WATER SUPPLY AND SEWERAGE DISPOSAL
ING STREET
P. . BOX 168
EA H ORD 8, CONN.
CT
1
�' � •� �� it
� a