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Septic New 55 Glenwood Road
F� p'°'� TOWN OF SOUTH WI pSO R AFoe N 4r �� BUILDING DEPARTMENT tVo 7— —A3— South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System Application No. cos/2 70-/ TO THE BUILDING DEPARTMENT: Date_ /Z qAy 19 70 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 f2ANI4 ��A'�O Address of Owner 2. Location of Property . 1916"WOOb/ oob Lot. No. 3 3. Type of Structure 14acA.AJAIC No. of Bedrooms- (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises ©Nf eo 1LA«4 t&y 5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tank JAZO Cgtboh/ Material of Septic Tank COV46AS74F 7. Soil Conditions: Type of Soil Maximum ground water table (Sand,Gravel,Clay,etc.) 8. If not served by public water supply: Distance from Owner's well 9K6A.-iC_ 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 7 M1444'r4M Classification of soil 11. Minimum square feet of effective seepage area required /7dr AW& IS M T&741- OF '70 0 Jk q F7- 12. Leaching System: Number of trenches Length Width -7•s 09r Total Other Signature LiaftseYnstaner) yy (Sketch showing all minimum distances and her details required sb�efow) ���- 389 9��� Permit Issued /a t4&y 19 To By ` AFL%//N/ `,O w#ODT V Installation Completed, Inspected and Approved 19 By A , 4 40 orbo _i y� rl 1 1 pat cw Z' Sj G• �\ v , r l i Tl AY 1 i 1 4� L �c { ram, i / FOR BUILDING PURPOSES ONLY NO . C',L E tM 001) ROAD SCIITH r, IEJf�S��E; , COON . Being Lot No. 13 on man ent i t I eta ' hI an of OUHARP H►- I GHTS Avery Street - South ',� i ndsor, Connect i CL[t; 5ca I e : I I(" nF coN�F'o. P•�ay 2C, 1 065 Hayden L. C . E . Shoel I of 3 ' �j/%EN it SCALE : 1 `' <tO' _ PAJI : MA2c- ii Z� 19 �0 ���`1 S 1' E.P F-A F. A • �S l t P L...`_i �O rTF�'i i�/�V�, e0 i