HomeMy WebLinkAboutSeptic New 413 Strong Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
f TO THE BUILDING DEPARTMENT: Date 2)44 / .3 19�
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 0� ,f LQ4 Address of Owner /_3
2. Location of Property_ /.� E��_ �� L t. No.
19 3. Type of Structure �/ No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets — Urinals L vatories�_ Bathtubs_
Showers_ Kitchen Sinks� Laundry Tubs—()_ Garbage Grinder_ Other K)
6. Liquid Capacity of Septic Tank Material of Septic Tank
7. Soil Conditions: Type of Soil.{1z_mJ Maximum ground water table_ — �o'�
(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 -74 oZ...S 0
10. Percolation Tests: Time for 1" drop in soil test 3 Classification of soil_ 'q
I
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches_ Length Width d Total/_.s/. ",V�0
Other
Signature Cl llJ
(Licensed Installer)
)
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By