HomeMy WebLinkAboutSeptic New 132 Orchard Hill Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. 4G7 /z
TO THE BUILDING DEPARTMENT: Date .�- - 2— 19 6 c—
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: (Z,,, N-e ber4-
1. Owner of Property Address of Owner - -
* t3�2. Location of Property ✓ Lot. No.
3. Type of Structure No. of Bedrooms
(Dwelling,Commer al Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 2 Urinals Lavatories_ Bathtubs_
Showers_ Kitchen Sinks,` Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank (��/44 Material of Septic Tank Ol�i C 1 c Yo W
7. Soil Conditions: Type of Soil )" ✓�(�ti Maximum ground water table
(SAnd,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well r C from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment r —
10. Percolation Tests: Time for 1" drop in soil test e'er Classification of soil
11. Minimum square feet of effective seepage area required 7 r
12. Leaching System: Number of trenches Length /377 Width_ _ Total
Other /r7lJli Z 3
Signature
(Licensed Installer
4
(Sketch showing all minimum distances and other details requir ow)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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