HomeMy WebLinkAbout213 Long Hill Road - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor,C onnecticut
Application for Permit t0 epair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT:Date 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted‘
1.Owner of Property Address of Owner ’<,I)IV w A /y/[ed0'I
2.Location of Property A H f9 (L Lot.No.
3.Type of Structure No.of Bedrooms é’
(Dwelling,Commercral Building.Store,etc )
4.Number of Families or Persons to Occupy Premises /&M//-:z/E
5.Plumbing Fixtures:Water Closets Urinals fi '\;Lavatories /Bathtubs /
Showers Kitchen Sinks Z Laundry Tubs Z Garbage Grinder {'3 Other d
6.Liquid CapaCity of Septic Tank Material of Septlc Tank f 14 MC r"{J7‘P
,l
7.Soil Conditions:Type of S011 G ha 1/?/Maximum ground water table -
(Sand Gravel Clay,etc)L???
8.If not served by public water supply:Distance from Owner’s well 7"‘
from adjacent wells '7‘4§&
9.Distance to nearest water course,drainage ditch,storm drain or embankment “7"/&&&
10.Percolation Tests:Time for 1"drop in soil test Classification of soil ‘_
11.Minimum square feet of effective seepage area required 3i >6
12.Leaching System:Number of trenches D Length Width Total
Other é I“I ¢I Ira
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cense nsaler(Lid Itl)
(Sketch showmg all minimum distances and other detaulsgequired below)
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Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By
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