HomeMy WebLinkAboutSeptic New 24 Greenfield Drive (2) TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.V-
TO THE BUILDING DEPARTMENT Date. O M2 9 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is 4sumitted:1. Owner of Property ddress of Owner / a2. Location of Propery Z 4 .0 Lr£t b —.1>2i rl e Lot. No. /7`
3. Type of Structure p�e � No. of Bedrooms —
( elling, etc.)
Commercial Builldiinjjg,Store,
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Q Lavatories _ Bathtubs
Showers_ Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank AVV 44 Material of Septic Tank -IV&2lee +1 s Ism 4"0910-)
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand, ravel,Clay, c.)
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 Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length /60 FT Width 2,S$::T Total41009Q FT
Other
Signature
(Licensed Installer)77
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
=s `
l00.00
Po 000 '' '
d
. .X1 N h
K fl'to
j 006 400
r jz N52',30'00 Bpi
y
. . fir,V'N
wnt'
s-' e
F
}� 4 to
•''.",�� _ ,.� -�_�-�� .u^n1�� r stir �?` ��-ate - � ..<_ _. x. .,--.. � .ri'.'s
ui .
PAV Eta $T _
-WlAfDSooe
4
5 se 030 l ao"E"
100.00 - -
r
� PO,Ooo a�
Q V a04
/ T :
4
.� Ott
y
szo
bki
ra ` ti
6r
I
N:f2'30'00'fi/
3
it
IV
r t
a c x
T NANO"
E x#t .J��F� � ���$��+ �f�/ �V R 1��SDi�_� E'���1�. �.�T�• Ems' �1 � �' � �", .,,
�. �''F7Wi 4 yJ riyT�]j1�` rf'ri` y < ry YsS'r. -.