HomeMy WebLinkAboutSeptic New 80 Northview Drive TOWN OF SOUTH WINDSOR
ev BUILDING DEPARTMENT
�. F South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date, IY � j 199
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: �1�y'
1. Owner of Property re &9 Address of Owner
2. Location of Property r—AM 6'7 Lot. No.
3. Type of Structure .,D-U/,4C-L-1-/1) 9 No. of Bedrooms_
(Dwelling,Commercial Building,Store,etc.) �
4. Number of Families or Persons to Occu y Premise s_a N C � /
I M4 t�
5. Plumbing Fixtures: Water Closets Urinals Lavatorie Bathtubs _
Showers Kitchen Sinks // Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank `/. ® //� _Material of Septic Tank �� � ��
7. Soil Conditions: Type of Soil T�QL Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well ?4 L1 C from adjacent wells��
9. Distance to nearest water course, drainage ditch, storm drain or embankment f V O
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
4/
11. Minimum square feet of effective seepage area required A /l—r—1 O Al
12. Leaching System: Number of trenches ""—" Length Width Total S
Other poc4 r tAl tvt cam BLa C-V �
�C U 0 Si ,gnatur �
(Licensed Instal er
(Sketch showing all minimum distances and other details required bello
10 a" FIELD
Cr
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By