HomeMy WebLinkAboutSeptic New 27 Sunnyside Drive y TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application
TO THE BUILDING DEPARTMENT: Date._-
19-91
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: / /
I. Owner of Property Address of Owner_ ;✓C4 0-j "e
2. Location of Property �/'C a s D �1 J,- Lot. No.--l 0
3. Type of Structure _ No. of Bedrooms
(Dwelling,commerci Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets _ Urinals Lavatories.- !12 Bathtubs
Showers_L Kitchen Sinks, Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank_ 2� Material of Septic Tan t r0 W
7. Soil Conditions: Type of Soil Q/ Maximum ground water table
(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 s Classification of soil
11. Minimum square feet of effective seepage area required S"7///"
12. Leaching System: Number of trenches Length 2-4�' 0 • Width Total SU® tole
Other .24
Signature
(Licensed Install
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By ppf
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Installation Completed, Inspected and Approved 19 By
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