HomeMy WebLinkAboutSeptic New 101 Wendy Drive v'� 4 •a. 'y
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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 _�X 19 t�7
A permit is requ ted for repair or construction of an individual sewage disposal system concerning which the
following information is su I itted:
1. Owner of Property Address of Owner
2. Location of Prop;
rop yf10l Lot. No.
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3. Type of Structure No. of Bedrooms_
we g,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occ Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Z Bathtubs f
Showers Z _ Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan +4
4(04�0 140,_Material of Septic Tank_
7. Soil Conditions: Type of Soil b - 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 '
i s �
12. Leaching System: Number of trenches Length Width z Total �r✓
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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