HomeMy WebLinkAboutSeptic New 79 Steep Road " TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. 0
TO THE BUILDING DEPARTMENT: Date. / /'Z 19 W/1'
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 h'►` 41 f7 r ro �r Address of Owner, ®r f r
2. Location of Property ra /, , a.'e nee a 111�ql Lot. No.�
3. Type of Structure__ /w) �r/i/,�y No. of Bedrooms
�e lling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises e f�
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs /
Showers — Kitchen Sinks_ Laundry Tubs — Garbage Grinder Other
6. Liquid Capacity of Septic Tank�Jr /J`�'D �i Material of Septic Tanks Q .c�
7. Soil Conditions: Type of Soil _WSJ f 1-2 Maximum ground water table / r
(Sand,gavel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well ...`* from adjacent wells .....mow
9. Distance to nearest water course, drainage ditch, storm drain or embankment a ! S emv✓,* ,/ j " /el-
10. Percolation Tests: Time for 1" drop in soil test AJ 'S e(°. Classification of soil_
11. Minimum square feet of effective seepage area required 40-1? .
12. Leaching System: Number of trenches_ Length�;� Width '"� Total
Other
Signature ?.
(L cens d ns a�ller) �•
(Sketch showing all minimum distances--dnd other details required below)
Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By
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IR oKe , I HEREBY CERTIFY
THIS PLAN TO BE
SUBSTANTIALLY ENGINEERING AND LAND SURVEYING
CORRECT; 740 NO. MAIN STREET, CROSSROADS PLAZA
NO. 3732 WEST HARTFORD 7, CONNECTICUT
FGISTO' O�
40) suR DATE REVISED jDg W
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