HomeMy WebLinkAboutSeptic New 62 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.
107s—
TO THE BUILDING DEPARTMENT: Date 6 r--- /1— 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 j Address of Owner_JCj e/utr y
2. Location of Property A l f .'re/ 001A I;"I(-- IF Lot. No.
3. Type of Structure W 'f No. of Bedrooms
( wells g,Commercial Building,Store,
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 ! 2 X'0 Material of Septic Tank fii7fi re. yaw
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 57J-)
c G .,
12. Leaching System: Number of trenches Length-3-20 Width Total SJ"
Other
Signaturd-a''z�
(Licensed Ina
(Sketch showing all minimum distances and other details re lred below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
5 . 9
ice? ix ;183;
0
O
54' O
---- - _25; 30'
?4
5�0
g0 .00,
-rinn?--.)EZ
I�Ef�n1t -r PLA1V
I.0n !f 1., ti , R1il fA 1L,1� ES'IA .S
sc k ::
L,�