HomeMy WebLinkAboutSeptic New 240 Beelzebub Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. A/0
TO THE BUILDING DEPARTMENT: Date_ l'> _ / 3 19!,�
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: s�- `)
1. Owner of Property e_LtAl - `I fj�.Q� Address of Owner l/
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2. Location of Property � no-� �/ -- /� Lot. No.
3. Type of Structure 7D �"^`� �, No. of Bedrooms_
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises— .`�
5. Plumbing Fixtures: Water Closets Urinals � Lavatories Bathtubs _
Showers uL_ Kitchen Sinks Laundry Tubs_L Garbage Grinder_ Other
6. Liquid Capacity of Septic Tank D/, /� Material of Septic Tank ..--r
7. Soil Conditions: Type of Soil fF!!!'`"' Maximum ground water table 134&.
(Sand,G avel,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 Widt Total vV
Other
Signature
(Licensed installer)
(Sketch showing all minimum 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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*N J. MOZZOCHI and ASSOCIATES l -�
1 30NSaTING. E1WNfERS
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JOHN J. MOZZOCHI & ASSOCIATES
�/oU_s�' ShpWr� os ,>`�f��✓t�d CIVIL ENGINEERS
GL ASTON BU RY, CONN.
NO ZONING VIOLATIONS.
CI- TIFIED SUBST NTIALLY CORRECT. SCALE--- I "= 40' DATE--- ✓D-,3.63