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Sewer New 515 Avery Street
TOWN+ OF� SOUTH SOR I D W N _ BUILDING DEPARTMENT ✓✓� `"� ' South Windsor, Connecticut yt Application for Permit to Install or Repair Individual Sewage Disposal System Application No. �°7�^- 3 TO THE BUILDING DEPARTMENT: Date. �7 r,c5 'Ef�a2 19 0 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 A//I. Address of O/w�ner 2. Location of Property S/.'� A4 2 .�•V Sr,-, (/d2e/V/U DNcici•:rs Lot. No. W 3. Type of Structure No. of Bedrooms (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ CiJt Ci] )(Iwn/4- i 5. Plumbing Fixtures: Water Closets Urinals C? Lavatories_�_ Bathtubs _ Showers_ Kitchen Sinks j Laundry Tubs C? Garbage Grinder 0 Other 6. Liquid Capacity of Septic Tank 1,Duch OA"o.,/5 Material of Septic Tank (1gVe,12,'rF CA2/Znc� 7. Soil Conditions: Type of Soil l 7 t°ia V 492- Maximum ground water table (band,Gravel,Clay,etc.) 8. If not served by public water supply: Distance from Owner's well ' 4,i e, 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 6 m ij ulrg'5 Classification of soil 11. Minimum square feet of effective seepage area required 176 PFR J3�D4DA, 1 -rc+7qj- aF Z/c `�i4j ac 12. Leaching System: Number of trenches l/AA/40 et S Length�SI WidthQ, 1 64: ar r Total S6G SQ Fr. Other ,L Signature✓_'iu v dz z, (Licensed I r) 7 / n (Sketch showing all minimum distances and other details requlre� QIIV) •/!a�'1�ii 5cT /h/ si���ct,�/b f'2/�32 '7<' /liFr--�" r'?�ctf-ArI.s,1I �! �IST.aNC�c_`, �l,Sil�niC?:� ��ctu�rtt`m�niT 9, /�� Rr ,2e' ce. A2 ,77�FTlvyo Permit Issued a7 r�/3J? e,ye�{ 19 c By/WEc IEO.c FeD S -7* Installation Completed, Inspected and Approved ZS/nAQe/f 197a By_/ � CDwgeDS t�2 TOWN OF SOUTH WINDSOR TOWN HALL SOUTH WINDSOR, CONN. 06074 DEPARTMENT POLLUTION CONTROL fir' u � ' a Date The Sanitary Sewer . . . . . . . . Septic System . . . . . . 111)( at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . or lot #. . . . . . has been installed and completed in accordance with the Town of South Windsor ordinances and regulations. Accepted and Approved By Date �*a a~:....- r ty+?may ,_{ r...•er a. -- ��L' 61Wh/t17ts 00 �y - w . 1t � - - +►� - ( F� 4 FOR BUf1pjUG PURPOSES . . Al010 , s ;x : 1 kJ ! � r� A VCR r TREE"T - NUUL /. E`,r'C.41/�9TE AND REMD VE TOPSOIL D TNER ORGAN/C A447Z.P/AL AND ALL UNS I//TABLE AV 76iQ/,4L /N L E"A CH/iV G F/E LU AND REPL 4CE" W/TiS1 4P,,0R0ViE Gf�A/VC/LAR FREE Di4A/N/NG MATER/AL L. ''4 �� 2. �9SS l/MED ,DEAL: Rig TE PIN/N Z5 M/N. o °� 3 TRCNCh9ES TO BE LA/O LEVEL 9'D.C. PLOT PLAN FOR - / I J.9 YL.9/VD CONTi4ACTORS //VC, WELL I 4S VALL E Y V/�'W DA IVC foa714/ WINDS 0.4' C r O Cv D 74 � p p SCALE- ! 'f0 ABU77/1V6 WELL IRON P/NS r M 0/VciME TS 3� i J \o _ E�'T/C SYSTEM I�AT.9 Gi BOTTDM OF TR4IVCh/ 3 07.SO 7R6;/YCA/ 54TA 4 d SO ,3 /NYERT A = 3/0. s 0 2 3 0 3 ' t INVERT B= /0. 9D ~ ' tir p �� 100-11 l/V VE�9T D= 3 09. 0 o Aso6900 � y / FIN. B,9SEAf6-N7 3/3.00 .4 V,�'y �o sTR��T t TRENCh1 AfTF9: 7S0 F� SENT/C TANA' S1LE _ /DDO GAL. ZZA ,Y/NG TR4!N- cHES: PXDPOSED __ (5 , TO/o SO/L. - MIN. BUILDING' SEF:- AB©VE 211 HAY _ F//1/. BA.S "M c� E�VT F//Y/SEED GRADE � 8 'OR/I/E"YV.4 Y -- AT 6'RUSS1N6' ' i'//V. GRA,DE---__ a ` ''• TFIEREBY CERTIFY THAT THIS MAP AND SURVEY WERE PREPARED IN ACCC (o !'/PE' ; p o , -WITH. THE STANDARDS OF A CLASS SURVEY AS DEFINED /N THE //VV A. D/STiQ/B. 4"R y C PRACTICE FOR STANDARDS OF ACCURACY OF SURVEYS AND MAPS, ADOPTS = B , _ DECEMBER /0, 1975 AS AMENDED BY THE CONNECT/CUT S YT�c ( � a p p SURVEYORS, INC. ASSOC/AT/ON OF /NV C URVE 1 DAlS 4`/1EAV Y DUTy P. Y.C. FRc E DR,41 V/NG - Gl"YG1Ei� 6�/YE-W,4Y W/71Y M47; _R/AL /N SE-�T/C S N 7-.s, DATA/L CNE- F71G'T & `STOVE A(2C'ORZ14NCE- W/TH ?AGE TS ABU✓E } ,6ECOVV 1 'CINN. //E•ALTh' Dt PT. CNGWEERING 1750 ELLINGTON R( /1%CA'710/VS. PC INC. SOUTH WINDSOR C • 203 644-4691 i .1 1 ,4 A' C) i i E