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HomeMy WebLinkAboutSeptic New 10 Glenwood Road TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System Application No. TO THE BUILDING DEPARTMENT: Date_/- 2 A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: 1. Owner of Propert ess of Owner. k4—=o- 2. Location of Property Lot. No.___;E;— _ 3. Type of Structure ��L�f�—!�dt „elling,Commercial Buudie/04 e� No. of Bedrooms 3 4. Number of Families or Persons to Occupy Premises_ 5. Plumbing Fixtures: Water Closets 7— Urinals Lavatories 2— Bathtubs / Showers�I Kitchen Sinks Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tank 2- S a Material of Septic Tank_� �� 7. Soil Conditions: Type of Soil (o��i Maximum ground water table (Sand,G avel,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 4.2 lk---w Classification of soil 11. Minimum square feet of effective seepage area required 12. Leaching System: Number of trenches Length-1 C,S Width Z/ Total Other Signatur tensed Installer) (Sketch showing all minimum distances and other details required below) Permit Issued 19 By Installation Completed, Inspected and Approved 19 By i i � _ , I i i i i I � � i � i I ! i � � i i � i i i� � � I � i I � ! I i � i I % � � � i i 'I I I i I Ili '. � I i � � i, � I � i i � I � i i � I � � � h�l �� � � I I i � i I I I I C �� � � I i � � i � I �I I � � i � i i � i � I i I I i �� � � i � � , � I� i j � I i � � I � � � � i � � I �i � � I � ' f I � , � � I � � ' � i I I I - _ _ .. i I' � �' � � I I � I i i i i � j I �, �� i it i � �'7ITfr'..LS1Yi1--'�' � i I i I I � I I I I i I i �I � i I j i i ! I i � � i � I II i ; � I � � � � I i � � i i I I I i �i II ! j i j I i i j I ' � � � li � � � � �S i I i i F I it ri� � �� � ' i � � i �� i � � � i � I i i � � � � i I � � II � � ', � I � ' I I � � I � f � � � � y i � i , � O i I � �� i � � � � � i � i i j � i i - � � I i � i j i � � i i I i � 1 I I �� � � i � I � - I I -� -- -�----�-.�__.� -�_ � I� � j i � � i � � 'i I � I � ' I � � '' r I � � i i i, j I I I j ' � � � i � I I I � i I � � i � i i � � � � � I I � � .. I � � � � i � I i I , � I � � � i :D-s � 9do \Ot.4ca o s (D7 z4' ,r U) kA 3Z� N a Co' f y� 9 , l' . i� S o o t 2 e ate• (� e f � Oil' � on r1c.1y.- f4ni: 1 1 e L 41A, JUt_Y 2e, I fo7 FOR BUILDING PURPOSES ONLY