HomeMy WebLinkAboutSeptic New 310 Beelzebub Road r +
.�PAlb TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
L South Windsor, Connecticut dp —'—'
Application for Permit to Install or Repair Individual Sewage Disposal System
> J( Application No. 6-7cP7'7a—/
TO THE BUILDING DEPARTMENT: / v Date 3?,11 ` 19 ?ta
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is subs t ed: / r Q�
1. Owner of Property -0 . ` "` dress of Owner
2. Location of Property 3!D /3c57'5:e-2 A"A /2d,4h Lot. No.
3. Type of Structure •� "" No. of Bedrooms 3
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises OMC c i I f'--ArK 14%.
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic TankL00,0 9AA--Z oJ5�erial of Septic Tank
7. Soil Conditions: Type of Soil L Maximum ground water table
(Sand,Gravel,Clay,etc.)
--
8. If not served by public water supply: Distance from Owner's well, F7 t 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)9 A 1nt u'r« Classification of soil
11. Minimum square feet of effective seepage area required/4S P4-Z- A-5b.0"+; TC27-A� o F q9s- :&q FT,
12. Leaching System: Number of trenches oyA lam! Lengthe2om aC'T WidthvP.-S- 0�7— Tota1SQ0 Sc1 fT
Other
Signature
�icensed Ina ler)
r►9 l EP,2 w evt� 3 Yd3 LrS,
( tch showing all minim-um distances and a r tai s re uired below
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Permit Issued c17 7,, 19_7O
52
Installation Completed, Inspected and Approved_/o Gu T 19.:2w— 1� �Vh
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TOWN OF SOUTH WINDSOR
` TOWN HALL
SOUTH WINDSOR, CONN• 06074
DEPARTMENT POLLUTION CON ROL
Date . . . .
$ stem � Y
Sewer Septic Y
The Sanitary � ' � 316
. . . . . . .
or lot #. . . . . . . . . . . . . . .. . has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted and Approved
Date
By