HomeMy WebLinkAboutSeptic Repair 22 Wheeler Road 0
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Applicat' No. `7'
TO THE BUILDING DEPARTMENT: Date 19i<
A permit is requested for repair or construction of an individual sewage d posal system concerning which the
following information is submitt d:
1. Owner of Pro erty Address of Owner ke,
2. Location of Prop y Lot. No. '
3. Type of Structure No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises .
5. Plumbing Fixtures: Water Closets -'21 Urinals d Lavatories -2--- Bathtubs
Showers_y) _ Kitchen Sinks O_ Laundry Tubs Q Garbage Grinder_( Other 0
6. Liquid Capacity of Septic Tank./2 d 6 Material of Septic Tank f=_ �__4__
7. Soil Conditions: Type of Soil Maximum ground water table
(sand,Gra 1,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well �S�f from adjacent wells y66
9. Distance to nearest water course, drainage ditch, storm drain or embankment_ 6R2 _f D / 7'
10. Percolation Tests: Time for 1" drop in soil test �Yn.c„� Classification of soil A
11, Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches �5 Length ��- Width 9 ' Total AA S-
Other J
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 015"eQ-r(00zV_ 13 S /�
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