HomeMy WebLinkAbout155 Laurel Street - Septic ApplicationW TOWN OF SOUTH WINDSOR34f‘f
BUILDING DEPARTMENT
South Windsor,C onnecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDIN DEPART NT:Date 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is mitted:
Address of Owner /.5‘):11
7.Soil Conditions:Type of Soil Maximum ground water tabl
(Sand,Gravel,Clay,etc.)
8.If not served by public water supply:Distance from Owner’s welli'i from adjacent well
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 Width Total /W’:2?
Other
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(Sketch showing all Inlmum distances and other details required below
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Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By
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Location of Property Lot.No.${¢
(No.of BedroomsTypeofStructure
F;7
(Dwelling,Commercial Building,Store.etc.)
4.Number of Families or Persons to Occupy Premises
’3
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
ls—ow
mm
LAu/aGL S7,