HomeMy WebLinkAboutSeptic New 14 Timber Trail TOWN, -Of SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Applicatio 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 Propert Address of Owner �, /1
2. Location of Propert - i►It35.Q /1,4 t. Lot. No. S,--o
3. Type of Structure No. of Bedrooms
( elling,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 f Material of Septic Tank �'/1
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 in 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 1 Width Z�Z Total-7 -
Other
Signature
(Licensed insJFler7
(Sketch showing all minimum distances and other details r ined below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By