HomeMy WebLinkAbout1966-6-9 - 117 Dart Hill Road - Septic ApplicationTOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System /016"
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 submitted: te
1. Owner of Property� -x �ZE: r - Address of Owner��
- ,� � f�
2. Location
3. Type of
No.
Bedrooms I.—:,, -
4. Number of Families or Persons to Occupy Premises 1
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_
(Saad. Gravy , 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
12. Leaching System: Number of trenches = Length J Widtkr i _ Tota
Other
Signature
( tensed Installer)
(Sketch showing all minimum distances and other details required below)
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Permit Issued
19 By.
Installation Completed, Inspected and Approved 19n By