HomeMy WebLinkAboutSeptic Repair 44 Oak Street PW
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 sub�mit/ttted-
1. Owner of Propert Address of Owner
2. Location of Property-4-4Lot. No. s�
3. Type of Structure 1
No. of Bedrooms
(Dwelling, mercial Bulldin Store,etc.)
4. Number of Families or Persons to Occupy Pre lses_ ^
5. Plumbing Fixtures: Water Closets 6>1- Urinals Lavatories Bathtubs___,C___
Showers / Kitchen Sinks�� Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank �d Material of Septic Tank ,v _
7. Soil Conditions: Type of Soil Maximum ground watermb - e�
(Sand,Gravel,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 ormbankment
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
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12. Leaching System: Number of trenches _ Length_ Widt L Total l
Other /f /
Signature'. ✓ /� s �C,.�
Licensed Inst8ller)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved ig By
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