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HomeMy WebLinkAboutSeptic Repair 32 Parkview Drive Fey. TOWN OF SOUTH WI N DSOR BUILDING DEPARTMENT /d South Wier-rCCo�onnecticut Application for Permit to Install or`.Repair'Individual S Sewage Disposal stem P Y Application No. TO THE BUILDING DEPARTMENT: Date 191 A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: T�/- `� 1. Owner of Property y,� ��r�!!1/�Address of Owner_ J )- 2 V f&w Die. 2. Location of Property_ /I/�'� Lot. No. 3. Type of Structure No. of Bedrooms (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises ©�467- if /G y / 5. Plumbing Fixtures: Water Closets Urinals Lavatories / Bathtubs_ _ Showers_ Kitchen Sinks_ L undry Tubs_ Garbage Grinder 6. Liquid Capacity of Septic Tan �CU s L Material of Septic Tank 7. Soil Conditions: Type of Soil Maximum ground water table (Sand,Gravel,Clay,etc.) 8. If not served by public water supply: Distance from Owner's well l from adjacent wells' 9. Distance to nearest water course, drainage ditch kment 'Llez cc - Xr 10. Percolation Tests: Time for 1" drop in soil assification of soil 11. Minimum square feet of effective seepage area required 12. Leaching Sys er of trencree Length Width Total Other lie Signature fe fUcensed Installer) (Sketch showing all minimum distances and other details required below) /R- si PLOu�t✓c` I,�/�,Elrr,�e7` a Lo OWWO 1,L (L-Aulmadio L�O Permit Issued 19 By Installation Completed, Inspected and Approved 19 By