HomeMy WebLinkAboutSeptic New 25 Glenwood Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair IndividugJ Sewage Disposal System
.-Application No.
TO THE BUILDING DEPARTMENT: Date 19,f
A permit is requested for repair or construction of an individual sewage disposal stem concerning which the
following information is submitted: en ry M d,r.rl g
t 1. Owner of Property Address of
i
2. Location of Property VS' _44_fAI&j o dz 12A /
,9D C 0AQ#AAZ WF16�wt.3) Lot. No.
3. Type of Structur G J ij'S
(Dwelling,Commercial Building,Store,etc.) No. of Bedrooms 3
4. Number of Families or Persons to Occupy Premises_ / 10541G//1 Y
5. Plumbing Fixtures: Water Closets 2 Urinalst Lavatories 2 Bathtubs__
Showers 2 Kitchen Sinks Laundry Tubs i _ Garbage Grinder_ Other_
6. Liquid Capacity of Septic Tank /406—" Material of Septic Tank
7. Soil Conditions: Type of SoilZ��� lD�rol' /i!/ Maximum ground water table
( nd,Gravel;Clay,
8. If not served by public water supply: Distance from Owner's well from adjacent wells 7i_ r_s?
9. Distance to nearest water course, drainage ditch, storm drain or embankment 0?.5— ZZ_
10. Percolation Tests: Time for 1" drop in soil test /."J�,.s�z Classification of soil
11. Minimum square feet of effective seepage area required 7�e)
r _
12. Leaching System: Number of trenches �� Length D—
es Width ,-KO—g ,e/i Total 7 d
Other
Signature
__�)Y
(Eicenled Instal er
(Sketch showing all minimum distances and other details requir bel w)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
-sn , _160_ a$'
V
( IJ
i
JO
o �t.
� ,�(�a�tstt`t!urltorrr�rr,{,.
- R C'i f��' •.i..
J i.
I'01"Ek'TY OF
FOR BUILDING PURPOSES ONLY
' N0 , CLMv00P ROM) ;�`;ETII , I 'vt�, Ci<, �,ONN .
Eye i ng Lot No. I I on mar ent i t I ed "''Ian of CKC HAi D HL I :,I,TS Avery
Street - South 'Windsor, 40 ' 2� 10612:
Hayden L. Griswold C. E . _sheet I of 3"
Lrls[3