HomeMy WebLinkAboutSeptic New 21 Greenfield Drive r'
b �
r TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date__ ...i Ac f 19�
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 Z&L,%a S M t I It►p, Address of Owner
2. Location of Property cs f^a Qn V 1 e c� 'Ir`• Lot. No._ 4 b A
3. Type of Structure w @ III AA- No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_8n e- U, A Ct-ft l V
5. Plumbing Fixtures: Water Closets - Urinals Lavatories i2 Bathtubs
Showers_. Kitchen Sinks,__ Laundry Tubs — Garbage Grinder �- Other
6. Liquid Capacity of Septic Tank 1_ O®O Material of Septic Tank 0dAc.M AC P
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 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 As I .,Anti♦a S Classification of soil
11. Minimum square feet of effective seepage area required 12S- , bedr-!400/Mf
12. Leaching System: Number of trenches Length 144 FT Width 7- S Ar Total3$S SQ F�
Other
Signature
( ice��ed Installer)
(Sketch showing all minimum distances and oth%leta•Ts required below 73 9"'S
Permit Issued CN4 se Lqn h er 1949
Installation Completed, Inspected and Approved A&V Se rh 6R r` 19 -? B
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HA�MPDEN COUNTY BOOK OF PI AN Wit wn.- . k-_ .. .. . ...,-
AP LOT
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OWNER: PLAN OF I..ANO AT:
wHAMNOE:N CO%;NTY 500K OF PLANS:
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