HomeMy WebLinkAboutSeptic New 26 Timber Trail 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 d I 19 b
A permit is requested for repair or construction of an individual sewage disposa ystem concerning which the
following information is submitted:
1. Owner of Property Address of Owner .��C. � c +P r'
2. Location of Property 'V , ` /1�' etc, Lot. No.
3. Type of Structure No. of Bedrooms
(Dwelling,C mmercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets '3 Urinals Lavatories Bathtubs
Showers_ Kitchen Sink s Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank , IS-6 Material of Septic Tank C G-Yt c. r t /7`YY o uj
7. Soil Conditions: Type of Soil 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 ,�, / Classification of soil
11. Minimum square feet of effective seepage area required �+
12. Leaching System: Number of trenches_ Length _ZZv Width '� Total L6 o
Other � _1 tr`
Signature
(Licensed Installe
(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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Certified sur s,an-�ially correc+ .
Zoning recrulations not violal�ed .
1�uildinr located as shown.
June 30, i a6o Rockville , Conn. -