HomeMy WebLinkAboutSeptic New 660 Rye Street 'f TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal
System
Applic% Na_
�s 19
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 submitted:
1. Owner of Property ddress of Owner
2. Location of Property &-o Lot. No.
3. Type of Structure ,Q No. of Bedrooms_
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises
5. Plumbing Fixtures: Water Closets , Urinals _ Lavatories , Bathtubs _
Showers Kitchen Sinks_ _ Laundry Tubs_ Garbage Grinder �� Other_
6. Liquid Capacity of Septic Tank AgPO4- Material of Septic Tank_ r
7. Soil Conditions: Type of Soil -- a e Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well DO from adjacent wells
k.
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches:. Length r Width_ Total /
Other S
Signature
(Lice d Installer)
(Sketch showing all minimum distances and other details required belo
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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