HomeMy WebLinkAboutSeptic New 1891 Main Street TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT CA 1*�—
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date. 2 C i 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submittedd:p ,{ t� �(,p �,
1. Owner of Property I&B K Q �/rT�� Address of Owner��ll /fz/� �,�
A i
2. Location of Property_ 5-AN� Lot. No. f�
3. Type of Structure I) tN C L L 1 IV 6 No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises
5. Plumbing Fixtures: Water Closets 4— Urinals Lavatories 3 + Bathtubs_
Showers+ Kitchen Sinks Laundry Tub s_L_ Garbage Grinder_= Other lkl 16;R
6. Liquid Capacity of Septic Tank /C' 00 (¢ 'Material of Septic Tank !kine-
7. Soil Conditions: Type of Soil ���� V C - Maximum ground water table °
(Sand,Gravel,Clay,etc.) I C!
8. If not served by public water supply: Distance from Owner's well "+' from adjacent wellska
9. Distance'to nearest water course, drainage ditch, storm drain or embankment °
10. Percolation Tests: Time for 1" drop in soil test ap Classification of soil r /0 4)
11. Minimum square feet of effective seepage area required aAl
12. Leaching System: Number of trenches Length _ Width Total y�
Other 8LOC�-C&T �G GL S` — evIJ6 3 6V 17,f rwon
Signature C
tensed Installer)
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved —19— By