HomeMy WebLinkAboutSeptic New 93 Tallwood Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date .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 - Address of OwnerAA A
2. Location of Property �4�s. x� it. No.
3. Type of Structure No. of Bedrooms
(Dwelling,cointnercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets .3 Urinals Lavatories` Bathtubs
Showers__ Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank J 61( C�
7. Soil Conditions: Type of Soil // C Maximum ground water table
(Raird,G aver f ay,etc.)
_$._ 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_ Q_ Width Total
Other
Signatur
(Licensed installer)
(Sketch showing all minimum distances and other details required below)
o a
Permit Issued 19 By
Installation Completed, Inspei;%4 and Approved 19 By
:A:
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
TO a p� DATE 73
SUBJECT: .e'�'
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PROPERTY OF �
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