HomeMy WebLinkAboutSeptic New 24 Orchard Hill Drive TOWN OF SOUTH WINDSOR -
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal S st m
Application No. 9
TO THE BUILDING DEPARTMENT: Date _Z 19 bS—
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 Z�� ,M, 44,1 �,Y-
2. Location of Propert 11�-(V ot. No.�_
3. Type of Structure U' e /N No. of Bedrooms_
(Dwell g,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers X Kitchen Sinks _ Laundry Tubs Garbage Grinder /' Other
6. Liquid Capacity of Septic Tank / Z f-0 Material of Septic Tank_ [, c sr r r �2 /�i row
7. Soil Conditions: Type of Soil � Y a c ( Maximum ground water table
(Sand,Gravel,Clay,etc.)8. If not served by public water supply: Distance from Owner's well 1 p- b�< C 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 L-Z i ti Classification of soil
11. Minimum square feet of effective seepage area required T p
12. Leaching System: Number of trenches Length 2.0 0 Width G L Total d AT
Other Z Z� � ��rf �'SO1D1
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
I
,C9'
\\ \ !.y\�,\\�
10)
x
13
Z t'1.�S ��4v �M ��•� �/�i��1,`fJluftttt�,liilVt`� 's
L r
FOR BUILDING PURPOSES ONLY
t l; 1,� v. l ... .. _L. Y l_ 1(�l i `t i t-C•(1 -. y� , 3
.. - ..�i;uf it .r t�...,i i,i .i 1. - 1, i +, t-f�!•� ,� L
4;t--f' ti