HomeMy WebLinkAboutSeptic New 00 Glendale 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. 4,�,g
TO THE BUILDING DEPARTMENT: Date //— / 19 0/.?
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/ A5VtV Z a.IAC-Address of Owner Oe--T�J— cI/("aso
2. Location of Property /ZD, Lot. No.
3. Type of Structure l/_�_i C E- d C-J No. of Bedrooms D
(Dwelling,commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ /C /�b7JPc s
5. Plumbing Fixtures: Water Closets 'Y' Urinals _ Lavatories_ Bathtubs
Showers Kitchen Sinks __ Laundry Tubs Garbage Grinder d Other
6. Liquid Capacity of Septic Tank 15Q2::g= Material of Septic Tank —Cn ST
7. Soil Conditions: Type of Soil 4—;2v4 Maximum ground water table 2cJ�i1�Z0u1��/�
(Sand,Gravel,Clay,etc.) 2
8. If not served by public water supply: Distance from Owner's well om a jacent wells
i
9. Distance to nearest water course, drainage ditch, storm
om�drain or embankment
10. Percolation Tests: Time for 1" drop in soil test /2 /2 I A� Classification of soil
11. Minimum square feet of effective seepage area required 2.S s,
3c) '
12. Leaching System: Number, of trenches 2 Length ar Width .3 Total /mod LF
Other
Signature --�—��
(licensed installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
TOWN OF SOUTH WI N DSOR
BUILDING DEPA,RTMERT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. -YO714
TO THE BUILDING DEPARTMENT: Date- Jr 2— C7G 19 �..�
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: p /' !
A� V /V L C /C T—� ��6 ( CLfiQf
1. Owner of Property /-//�".5�� ��T/. �'��Address of Owner_ Z?3 �,
2. Location of Property to L-C��/ /) S y, LZI, Axg s y 2 Lot. No.
3. Type of Structure C6)1-7/7 �A26-/ A—Z- 15 !-10 S F No. of Bedrooms
(Dwelling,Comme cial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ " /0
5. Plumbing Fixtures: Water Closets f Urinals 2 Lavatories Z Bathtubs CD
Showers d Kitchen Sinks G Laundry Tubs D Garbage Grinder D Other G
6. Liquid Capacity of Septic Tank /S—`�& LALt= Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table ` f 2
(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 Z 1-1 ,
i
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required 4'�Cv
12. Leaching System: Number of trenches_ Length Width 3 Total ? SF
Other
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
ZIAJ 7e
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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.
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: /� /7 /
1. Owner of PropertyeAre44e / �.0,V-07(! -// Address of Owner—,*
2. Location of Property 6, Lot. No.
3. Type of Structure weuin ,Comme g,Store,etc.)al wildin No. of Bedrooms
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Z Urinals y_ Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other �J
6. Liquid Capacity of Septic Tank /�—®o Material of Septic Tank . /`/�Qdra
7. Soil Conditions: Type of Soil Maximum ground water table
(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 embankments '�"�'•'�
f
10. Percolation Tests: Time for 1" drop in soil test 9yt Classification of soil
11. Minimum square feet of effective seepage area required 4 s--o S'T.
12. Leaching System: Number of trenches Length ,,� Width Total /SD L
Other D A/
Signature ' 1
/ Li ed Installer) g� _emu
(Sketch showing all minimum distances and other de ai s required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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