HomeMy WebLinkAboutSeptic Repair 37 Sunset Terrace TOWN OF SOUTH WINDSOR •
BUIL
DING DEPARTMENT
C� South Windsor, Connecticut
Application for Permit to Install or�lndividual Sewage Disposal System
TO THE BUILDING DEPARTMENT: Application No.��
Date " 19�_
A permit is requested for a alr or construction of an individual sewage disposal syste concerning which the
following information is submitted
1. Owner of Property( Qg4a o
Address of Owner
2. Location of Property ? �M/� s T IL.
3. Type of Structure _-7D
Lot. No.--.
or (Dwelling,Commercial Building,Store,etc.) No. of Bedrooms
4. Number of Families or Persons to Occupy Premises
5. Plumbing Fixtures: Water Closets
Urinals Lavatories__ Bathtubs,_
Showers Kitchen Sinks LaundryTubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank
Material of Septic Tank_ Y 15-rj N c
7. Soil Conditions: Type of Soil SAN?�V p
(sand Gravel,Cap,etc.) Maximum ground water table
8. If not served by public water supply: Distance from Owner's well
L.
9. --Distance to nearest water course, drainage ditch, storm drain or embankment from adjacent wells
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 T"_PV_ L /
Other ength � / Width �.,.� ��
Total
Signature
Installer)
(Sketch showing all minimum distances and a erl0de'�ails`r14 1red Uow) &-9"3S
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Permit Issued_ /� 19 B
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Installation Completed, Inspected and Approved
� 19 46%_ By