HomeMy WebLinkAbout1966-6-11 - 107 Dart Hill Road - Septic ApplicationTOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT Z!'.
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date _ . 1.9 ;
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: L-O; S r A-4L- 1. Owner of Property �Y {` - � � &2 . _Acidress of Owner_
2. Location of Property 4" � ` Lot. No. 3
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3. Type of Structure rv- _ _ _ _ No. of Bedrooms
4. Number of Families or Persons to Occupy Premises
5. Plumbing Fixtures: Water Closets Urinals _ Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other__
6. Liquid Capacity of Septic Tank Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table
( Sand, Gr el, Clay, etc.)
8. If not served by public water supply: Distance from Owner's well I `3 from adjacent well 1 i
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- �,.Z- - Length - � Width__ -J� Total
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Signature���� J
(L centred installer}
(Sketch showing all minimum distances and other details required below(
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Permit Issued
9 By,
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Installation Completed, Inspected and Approved 19 IP4 By