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HomeMy WebLinkAboutSeptic New 67 Glenwood Road V TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT '�"` '7`1 _7 a� South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System Application No. aka 76-a. TO THE BUILDING DEPARTMENT: Date 19 ?e-, A permit is requested for repair or constructs of an individual sewage disposal system concerning which the following information is submitted: j 1. Owner of Property of Owner 2. Location of Property Qo 7 gi_c"I w©"'c" LA i-> M'20#-AR A /,rc-r4 Nis J Lot. No. 3. Type of Structure 'Zwd-1.4,t.d 4 _ No. of Bedrooms (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_©,4,. el) ``1miA. 5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tank 1 4­ -' Material of Septic Tank('046/U�r T,�:- 0)"A �t 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 Lr3Li C- 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 o tVc r�'S Classification of soil 11. Minimum square feet of effective seeps area required/7�Pc2 Agp! cc4 ?�lR,� en� g .a`��•5 �'ct/12C ��c'T' 12. Leaching System: Number of trenches ocelt 4V Length�o Fr Width-Q-�FaE? TotalVZO Sq FT, Other Signature-. Q�1(Licensed I r) 1 �Rli�7D ! a Sri (Sketch showing all minimum distances and otheer ddettai s required below) Permit Issued a7/5�1341-(A&V 19Z By i let 'ED-Ae 05 -2. Installation Completed, Inspected and Approved 06Y1q,et0 19_747 By/V4FL F&042bS vT/L, 44 AWN l�F' S©uTK !�/I1Sc1R m 6,-So pt LAI 6D ON c� r a NAl N F K fif' ------------- C� Z- CN WOC?Q `RDA 4 -FOR BUILDMG - - - ` ' to.:`:•�� "1 t i I1 ::i_! of��-14 �tom'� 1 t � :F � - -► 1 ',r fF 1 '� r f 1 .� � � ,�., �.;, a $ a ` t TOWN OF SOUTH WINDSOR TOWN HALL SOUTH WINDSOR, CONK. 06074 DEPARTMENT POLLUTION CONTROL, Date G?�-: .���u�� . . .✓�+.�.�. . . . . The Sanitary Sewer . . . • Septic System . . . . . . ' , at �,. . . . . . . . . . . . . . or lot #. . . . . e :. . . . . . . has been installed and completed in accordance with the Town of South Windsor ordinances and regulations. Accepted and Approved Date Y -- ------ ---- --— - -- - - ---------- _ .. � �� �•.jai;,