HomeMy WebLinkAboutSeptic New 48 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. �/, S7- 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 Address f Owner
2. Location of Property' 7-7 Lot. No.. IF
3. Type of Structure No. of Bedrooms 3
(Dwelling, mmercial/Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets - - Urinals --- Lavatories 2 Bathtubs /
Showers_ Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Jv Material of Septic Tank o
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 7- ti `Classification of soil
11. Minimum square feet of effective seepage area required 3,>J
12. Leaching System: Number of trenches .3 Length Width �� / 0S
Total J 3
Other
Signature �
(Licensed Installer
(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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