HomeMy WebLinkAboutSeptic New 45 Chapel 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.
TO THE BUILDING DEPARTMENT: Date- #/ c;2 3 19 C�
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 0,1 1lI Address of Owner 0-7 %! C/�y� Cf"✓ /��
2. Location of Property 4 s Lot. No.
3. Type of Structure W <r. -cps No. of Bedrooms_
(Dwelling, ommercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories_ Bathtubs l
Showers_I Kitchen Sinks Z Laundry Tubs_,/Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table_ A/14).11f5'
(Sand,Gravel,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 r/'7
11. Minimum square feet of effective seepage area required s? 7 is' Q::f,
12. Leaching System: Number of trenches o� Length it s .���J Width Total O
Other
Signature
(Licensed installer)
(Sketch showingall minimum distances and other details required below)
9
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
CHAPEL R 0 A D
M.S.
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50' 52'
N/F 50, N/F
RENO
LUCHINA - TeR
o JOSEPH
LUCHINA
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00 145.42' M.S. Q
N/F JOSEPH LUCHINA
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No.5032 ?��� i
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G!$TERE o�
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I HEREBY CERTIFY THIS MAP TO
BE SUBSTANTIALLY CORRECT AND.
IN ACCORDANCE WITH CLASS O SURVEY FOR
CODE OF CONN. TECHNICAL COUNCIL INC.
PASQ UA-LE- P -DELLA R I-PA------ - - -
CHAPEL ROAD SOUTH WINDSOR
I
SCALE 1"=40' MAY 1968
WILLIAM J CARRINGTON REG. L.S.
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