HomeMy WebLinkAboutSeptic New 49 Tudor Hill Road � y
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 � — ! 1946
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submi ted:
1. Owner of Property sL1.4 v � ;KJJ Addressof Owner
49 c
2. Location of Property—-� — Lot. No.-
3. Type of Structure No. of Bedrooms._
(Dwelling,Commercial Building,Store,etc,)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs _
Showers 1 Kitchen Sinks L Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank a Q d Material of Septic Tank
7. Soil Conditions: Type of Soil —�d 1J Maximum ground water table_ �N�
(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 �r �. Classification of soil
�r
11. Minimum square feet of effective seepage area required —3
12. Leaching System: Number of trenches -3 Length Width J�2 Total�lf /Z 5
Other
� % �Signatur — tee'
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved ig By
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