HomeMy WebLinkAboutSeptic New 65 Steep Road TOWN OF SOUTH WINDSOR
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BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.-_ �.
TO THE BUILDING DEPARTMENT: Date_ .JCeti� / lg
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— if� l/ k7 d--c Address of Owner
2. Location of Property--A v / �- w �r` )Yam' � /` � Lot. No._ 6
3. Type of Structure �[cJ C, ////-IC No. of Bedrooms
welling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ tO
5. Plumbing Fixtures: Water Closets Urinals Lavatories Z � Bathtubs_
Showers `— Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank ,/►C-zr-Z1 Material of Septic Tank_-_�
7. Soil Conditions: Type of Soil ��1 Maximum ground water table - /Q
(Sand,Gravel,Clay,etc.) _
8. If not served by public water supply: Distance from Owner's well 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 Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width Z
Other /'l
Signature -.✓ " ./i .c��� z - 2
UA en ed I sta ler)
(Sketch showing all minimum distances and ether details- required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
LOT �` �3 ' s eEp RCAD
SOUTH A ;N030R *CCNN n
CUT AREA ,*472 s c.,F * ;
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OF THE TOWN CF �v
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