HomeMy WebLinkAboutSeptic New 00 Tallwood Drive (2) TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application o.
TO THE BUILDING DEPARTMENT: Date I -Q
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'VYW Address of wrier -'M C) M�
2. Location of Properti-P aL44,J6M �tt1 Lot. No.��
3. Type of Structure uh No. of Bedrooms_
(Dwelling,COmmercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
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_S1 0n PAO-
7. Soil Conditions: Type of Soil )L V p s Maximum ground water table
(Sand,UPavel,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 Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width 9 Total_/roo?�
Other
-
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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