HomeMy WebLinkAboutSeptic New 00 Glendale Road TOWN OF SOUTH WINDSOR
'Y BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application NoQ�.; 7'9LS
TO THE BUILDING DEPARTMENT: Date_f- — -7 19-76
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 6L-) - 6�Xt M R7' Address of Owner
2. Location of Proper Lot. No.
3. Type of Structure 4�^.10 e 1196/vS z 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 Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank o��
7. Soil Conditions: Type of Soil `>tia Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well from adjacent wells 75 j
9. Distance to nearest water course, drainage ditch, storm drain or embankment 7f 7`-
10. Percolation Tests: Time for 1" drop in soil test 2 Classification of soil S4&/77>
11. Minimum square feet of effective seepage area required 3 7 S
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12. Leaching System: Number of trenches Length Width Total yl2
Other
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Signatur L
(Licensed Installer)
(Sketch showing all minimum distances and othe details required W 1
42,
Permit Issued 7 19 76 By ICJ
nstallation Completed, Inspected nd Approved —9 192� By /.J��
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No. 5522 ��1*�,� BD I
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GAS, CITY WATER Q0 ,<
AVAILABLE IN M.S.
+ STREET RIGHT OF WAY GLENDALE
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_ PROPERTY OF
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WILLIAM S. & LOIS W. BURKHART
GLENDALE ROAD SOUTH WINDSOR
SCALE I"=40' DECEMBER 1969
W ILLIAM J. CARRINGTON', REG. L.S. 4'
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