HomeMy WebLinkAboutSeptic New 00 Wendy Drive (6) TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
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Application No.
TO THE BUILDING DEPARTMENT: Date
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is mitted:
1. Owner of Property Address of Owner
2. Location of Pro ty. �+/ � ��� Lot. No. �
3. Type of Struct re No. of Bedrooms
(Dwelling mercialBuildin9 re,etc.)
4. Number of Families or Persons to Occupy Premises
5. Plumbing Fixtures: Water Closets 0- Urinals Lavatories - Bathtubs l
Showers_ Kitchen Sinks f Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank e > ` ' Material of Septic Tank � � -
7. Soil Conditions: Type of Soil Maximum ground water table - OVr-�
(Sand, ravel,Cl .)
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_Z Total Z
Other
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Signature � -/ i !a U-,�i z-,
(Licensed Installer)
(Sketch showing all minitnum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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INC . South A i niter, Conn . ,,cal e I ' --5C' Jan . 1l , 105?
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