HomeMy WebLinkAboutSeptic New 715 Nevers Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
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Application No.
TO THE BUILDING DEPARTMENT: Date /�' 7--Irt' 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 Address of Owner,
2. Location of Property ��s ,� ��� Lot. No.
3. Type of Structure /s No. of Bedrooms J
(Dwelling,cornmercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ 00
5. Plumbing Fixtures: Water Closets Z-- Urinals Lava ories Bathtubs
Showers Kitchen Sinks / Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank /a 0,9<,&,,f' Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table
( nd,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well e'v from adjacent wells,�;�
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 y2d Width Total -3®0
Other
Signature t4
(lAcensef
Installer)
(Sketch showing all minimum distances and other details required wl
Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By
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