Loading...
HomeMy WebLinkAboutSeptic New 78 Glendale Road TOWN OF 'SOUTH WI N DSOR BUILDING DEPARTMENT South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal Syste Application No. �� TO THE BUILDING DEPARTMENT: Date_ / V A-le V— 19 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 '1- d-��� y C'��c Address of Owner 2. Location of Property D ll 7 S/O zz- Lot. No.-- 7 3. Type of Structure 1-1/`7 LAC//J L LA I- lt-d-6L y-j d No. of Bedrooms 0 (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ 7 5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs 123 Showers 0 Kitchen Sinks i! Laundry Tubs 0 Garbage Grinder_ Other 6. Liquid Capacity of Septic Tank /-S-e'U Zis— Material of Septic Tank 7. Soil Conditions: Type of Soil Maximum ground water table_ /U (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 11. Minimum square feet of effective seepage area required 12. Leaching System: Number of trenches Length Width Total Other Signature (lAd6nsed Installer) (Sketch showing all minimum distances and other details required below) Permit Issued 19 By Installation Completed, Inspected and Approved 19_ By w b� 0 o� ti g 3y�ti W s H v i 1� o . Q 4 r �Y i t � �`'/,.- ..�'"�f`.er�I�.ems �a.7- ,,L�'�r-}✓ .B I�/M/C.L�� r�'A!'.A7rV ✓L.�,�¢GtG�G�s!' +d�.�tli �w,r,�~rat•a No s���/.cam s.o +�4Pr'��! 1�1�sar.,aid.r. ..� far rss�r- w�'"' ..SS_©�/T.F,� �'✓i N.��cID.� �.es�1�/�', s y a 0 �.a i ell -cam- - -- --------- -- - _ _ -------- - f� _.- - - ---- --_ - - --- - �f �lwn