HomeMy WebLinkAboutSeptic New 00 Wendy Drive (4) TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System�i®
Application No.
TO THE BUILDING DEPARTMENT: Date. e4;"'®/Y-7 19 �
A permit is reques for re air or construction of an individual sewage disposal system concerning which the
following information is sub ii ed: '
1. Owner of Property, t r Address offOO)wner
2. Location of Proper nE c/N ��►�tt Lot. No.
3. Type of Structure + No. of Bedrooms 11.7
(Dwelling,Commercial Building, tore,etc.)
/ a
4. Number of Families or Per , to ccupy Premises_ �-
5. Plumbing Fixtures: Water Closets a Urinals Lavatories_ Bathtubs
Showers / Kitchen Sinks ` Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic TanMaterial of Septic Tank ,
7. Soil Conditions: Type of Soil Maximum ground water table--
(Sand,Gravel,Clay,etc.) r
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
12. Leaching Syst
em:m: Number of trenches Z y s3 Length '° Widt Total
Other
Signature + �
(Licensed Installe )
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
. r
--=39I -
by'
` C
t
C'I OE E[�'TY t:
uT�� cr�t,
} Eeih Lot No. , -
9 �? y' on rr.a�-' entitles! `hCaC: c; :,CCInIR�G ; ;�f,. It :section /
Cr i ff i n f, 4; i ndsory i I le ::oasis Jout'rj �, i r;sisor-, Conn. Ica 1 e I 'r - SIC '
c
Ater, 15, I0E4 Devised June 4, 1005 Hav:{en L . Cr• iswold C.E . "
Icaie 1r, — 4
IiiiYDEN L. l> > I C
it
k