HomeMy WebLinkAboutSeptic New 33 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
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 9bt7-A-- A)L70A4&0J Address of Owner_
2. Location of Property UbdR. 1-� 1L'- 12-cl , Lot. No.
3. Type of Structure J0W&J-J-w&- No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ e A q—F
5. Plumbing Fixtures: Water Closets 12- Urinals — Lavatories Bathtubs 2
Showers Kitchen Sinks J Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank L9 L► Materia of Septic Tank (�- f_.�i�✓
7. Soil Conditions: Type of Soil .mac % 1 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_�r 7
12. Leaching System: Number of trenches_ Length__ Width� Total _
Other
Signature �_..
( censed Installer)
(Sketch showing all minimum distances Qnd ther details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19�_ By
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