HomeMy WebLinkAboutSeptic New 00 Wendy Drive (5) 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 19Z*7*
A permit is requ ted for repair or construction of an individual sewage disposal system concerning which the
following information is su itted:
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1. Owner of Property Address of Owner
2. Location of Prop y Lot. No. �
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3. Type of Structure No. of Bedrooms
we ng,Commercial Building, tore,etc.)
4. Number of Families or Persons to Occ Premises '
5. Plumbing Fixtures: Water Closets Z Urinals avatories Bathtubs
Showers ( Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank X400 0-40, Material of Septic Tank
7. Soil Conditions: Type of Soil �� v 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
12. Leaching System: Number of trenches_ Length .. / Width ZA , Total
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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