HomeMy WebLinkAboutSeptic New 36 Glenwood Road J. TOWN OF SOUTH WI N DSOR
G�41 BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System770 �/�
Application No. --
TO THE BUILDING DEPARTMENT: Date 196Z
A permit is requested for repair or construction of an individual sewage disposa system concerning which the
following information is submitted:
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1. Owner of PropertSL.^,r4z="'""'��is�G+r��>rf "4GAddress of Owner9-&&W ''d .51'
2. Location of Proper y!lt6y*rw ry o/r S6, Lot. No.
3. Type of Structure P&4allp� No. of Bedrooms 3
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 3 Urinals _ Lavatories 3 Bathtubs
Showers 2 Kitchen Sinks_ Laundry Tubs Garbage Grinder Other X
6. Liquid Capacity of Septic Tank ///d�—h Material of Septic Tank
7. Soil Conditions: Type of Soil JVI Maximum ground water table W----—2
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well from adjacent wells Tlrc,�
9. Distance to nearest water course, drainage ditch, storm drain or embankment ,?
10. Percolation Tests:. Time for 1" drop in soil test 176 111� Classification of soil
11. Minimum square feet of effective seepage area required 7 JJ
12. Leaching System:"Number of trenches _h Length �e�:5 Width Total 9�0-V
Other '� ��� L V o
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Signature C�z
Licensed Ins 11
(Sketch showing all minimum distances and other details requir ow)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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FOR B en ,}1, liltDl a ��fRPpStS ONLY
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