HomeMy WebLinkAboutSeptic New 70 Steep Road TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. 7?Y
TO THE BUILDING DEPARTMENT: Date_ 1!f 19 (P
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, l l e 0 (-b Uc)yU.� Address of Owner_ �o `z—
N,
2. Location of Property70 �5liy__e s (QA,,4 J gr/Jrld Lot. No.
3. Type of Structure... j 14 � (,��G No. of Bedrooms_
Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises,_—® h V" ► (�/
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water tabled n P- 7` I U
(Sand,Gravel,Clay,etc.)
& 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 -17/Q Width--a Z ! Total �J
Other
Signature
(L censed installer)
(Sketch showing all minimum distances a Cher details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
L*T .A la«CR ROAD. .
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