HomeMy WebLinkAboutSeptic New 00 Wendy Drive (9) 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:
A permit is req U/efted for epair or construction of an individual sewage disposal system concerning which the
following information is s itted: '
1. Owner of Propert Address of Owner
2. Location of Pr p ty actin/ Ioe Lot. No.
i
3. Type of Structure
Ming,Commercial Building tore,etc.) No. of Bedrooms
4. Number of Families or Persons to Oc y Premises_
5. Plumbing Fixtures: Water Closets Urinal Lavatories
Bathtubs_
Showers l Kitchen Sinks l Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank AC
7. Soil Conditions: Type of Soil - Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's we 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 cnf- i ; - Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches— Length--_/46 't WidthZ—/Z , dw
Total
Other
Signature— -r f T a
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Qrmit Issued 19 By
}ation Completed, Inspected and Approved 19 By
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:kale 1 ' = 40 '.