HomeMy WebLinkAboutSeptic New 00 Wendy Drive (3) TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System-40//$;6r
Application No.
TO THE BUILDING DEPARTMENT:
A permit is request for repair or construction of an individual sewage disposal system concerning which the
following information is sub ' ted:
1. Owner of Property Address of Owner n
2. Location of Proper y /� ' o<c�.� lRi2 Lot. No. /
3. Type of Structure No. of Bedrooms
(Dwelling, mercial Building tore,etc.)
4. Number of Families or Persons to Occupy Pre lses_1� `
5. Plumbing Fixtures: Water Closets g;;'?, Urina Lavatories 04— Bathtubs /
Showers l Kitchen Sinks 1/ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank / D19,Q0, Material of Septic Tank
7. Soil Conditions: Type of Soil oZe - 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 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 /t�����cy Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width Total
Other Q 7''
Signature/� / , �,
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
' R BUILDING PURtPOAS ONLY 3
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HOMES INC . ' outh C _.- ,� r,cisor, ..o; r, , `c a I e i '"� Jar .
Scale I " - 40u�/.:r � / 940 - - - - --