HomeMy WebLinkAboutSeptic New 30 Tudor Hill Road 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_ /V e/ 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 oih(— ftaM 260%) -Address of Owner #Z 6WA) &L JI0.
2. Location of Property t 4T 't 6) $d 00&& 14,+-+ GU7. Lot. No.
3. Type of Structure Avi."'o e.- No. of Bedrooms_
(Dwelling,Commercial Building,Store,etc.-)
4. Number of Families or Persons to Occupy Premises_
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5. Plumbing Fixtures: Water Closets Z Urinals — Lavatories Z Bathtubs I
Showers L Kitchen Sinks, +— Laundry Tubs Garbage Grinder Other 1&f dA&fE _
6. Liquid Capacity of Septic Tank .106 6 Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Clay,etc.)
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8. If not served by public water supply: Distance from Owner's well- C 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 ' i
Z • 4 ��
12. Leaching System: Number of trenches Length C Q Width Total
Other
Signature rCV
Licensed Install r)
(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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