HomeMy WebLinkAboutSeptic New 357 Smith Street r w
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date 19 �✓�
A permit is requested for repair or construction of an individual sewage disposal system concerning wh
following information is submitted: b),>4A' P US ich the
1. Owner of Property Address of Owner 6
2. Location of Property_
3. Type of Structure Lot. Nno /
No. of Bedrooms_
(Dwells ,Commercial Building,Store,etc.)
y
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Z Urinals atories y Bathtubs _
Showers Kitchen Sinks / Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank , 6 Z!Z Material of Septic Tank
7. Soil Conditions: Type of Soil_ / Maximum ground water table
(band,Gravel,Clay,etc.) =
8. If not served by public water supply: Distance from Owner's well >�E 7L from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment _7 J'
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 Width Total D (�
Other Z�� Z/
Signature
(Licen Installer)
(Sketch showing all minimum distances and other details requir w)
Permit Issued 19 By
Installation Completed, Inspected and Approved
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