HomeMy WebLinkAboutSeptic New 226 Beelzebub Road TOWN OF SOUTH WI N DSOR
t BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to,Install or Repair Individual Sewage Disposal System
2— Application No.
TO THE BUILDING DEPARTMENT: Date. O 1Z 19 0
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: (, bi-af ✓arrlo
1. Owner of Property �- Address of Owner
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2. Location of Property�t�J���� Lot. No.
3. Type of Structure 19a,ell, of Bedrooms
(Dwelling,Coffffnercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ OW6
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank /a-;O Material of Septic Tank C®r ��i�Reeej 1
7. Soil Conditions: Type of Soil_ 0,VzA41 OAVe aximum ground water table /l/ctlo-le
(Sand gavel,Clay,etc.)
8. If not served by public water supply Distance from Owner's well �6�i C'from adjacent wells xle�e
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test kh l —Classification of soil
11. Minimum square feet of effective seepage area required 1 jW Sq T7
12. Leaching System: Number of-trenches Length Width Total
Other
Signature
a 3ne�
(License talle
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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Las Numbers Refet 10 mvmeh
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SOC1 rH S1/ruU.�CS CC�JVN.
Seale: "=szo'
Dated: to -Zo-6pBy � 3j :� Z
JOHN J. MOZZOCHI and ASSOCIATES - v/
CONSULTING ENGINEERS
GLASTONBURY, CONN.
Filed- in Town Clerk's Office AT' 10 Q r� -- — — Al
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No. 3744 zJ E et" CONS79CICT10" CC).
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110NnL e Tk JOHN J. MOZZOCHI & ASSOCIATES
CIVIL ENGINEERS
GLASTONBURY, CONN.
NO ZONING VIOLATIONS.
CERTIFIED SUBS).ANTIALLY CORRECT. SCALE--- 40' DATE--- 7- /-G4
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E - 64 -17 C59-85 - Z.)-