HomeMy WebLinkAboutSeptic New 50 Glenwood Road c �
TOWN OF SOUTH WI N DSOR /�
BUILDING DEPARTMENT `IeRM#T
South Windsor, Connecticut 1l0• o'
Application for Permit to Install or Repair Individual Sewage Disposal System
Applicatioo+n No. o9ta'to- $
TO THE BUILDING DEPARTMENT: Date_to 0EPTiM4Git 19—u
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 m l Lw t a- /� nn Address of Ow//n��er
2. Location of Property �� O&OWUmMoD Ka/OA 4VAW *A,% AlemNTS Lot. No. 63
3. Type of Structure LIJ� No. of Bedrooms 3
F (Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises Cli CS) FAM#Ly
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank i o� sp&&.orJ Material of Septic Tank goMr-4 EE�
7. Soil Conditions: Type of Soil (Sand, Maximum ground water table
G ravel, etc.)Clay,
8. If not served by public water supply: Distance from Owner's wellomf4a tG from adjacent wells
I
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test 1/ s1/NtlTii Classification of soil
11. Minimum square feet of effective seepage area requiredllt" Ad* did/ZooM yw*,L " 37 S' AS 1cT.
12. Leaching System: Number of trenches-ri4lLogc Cs' Length_LVi r=r. Width it.t t¢T Total 177. s Fr
Other
Signature
(Lice d Ins ler)
R s NAA w9- mr on o�
(Sketch showing all minimum distances and other details requir ow)
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Ir1SPr� rtCy`i.
-S'FE iA•rrA0►4A9D Pi--'T- Ps-AM
Permit
Permit Issued o SEO'r1o..44A4. 19 BA04 7A+•�.•rY x�
Installation Completed, Inspected and Approved 06 yCS08E2 19 17a Bye
FOR BUILDING PURPOSES ONLY
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P!"0('F-PTY C :y
�Nc . GLENWOOP ;'CAD
Ee i n�j Lot No . 03 on map entitled " Plan of OKCHAIM HFI CHTS Avery
Street - South Windsor, Connecticut 'ca le : I " _ 4C' May '?C , 1065
flayder L. Griswold , F . sheet I of 3"
2
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HAYPLN L . GIE I : WOLD C . E.
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MAMM STCR, C 0 N N.
R R t
pF SOUTH WINDSOR
TOWN OF
TOWN HALL
SOUTH WINDSOR, CONN' 06074
DEPARTMENT POLLUTION CONTROL
Date ��: .CC`T. . . . . !l7. �? . . . . .
C Septic System .� . . . . .
a-
The Sanitary Sewer
at
. .
has been installed and completed
or lot #. . . . . .
' with the Town of South Windsor ordinances
in accordance
and regulations.
Accepted and Approved
Date
By
.ai