HomeMy WebLinkAboutSeptic New 47 Greenfield Drive 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_2 y 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is Au mitt��i
Pe er Ku3awa,� reenfie Drive
1. Owner of Property @C Addr ss of Owner
2. Location of Property 4 �� Lot. No. 0 J
3. Type of Structure No. of Bedrooms_
(Dwelling,Commerelal Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ O-Vk-� l
5. Plumbing Fixtures: Water Closets Urinals Lavatories '� Bathtubs
Showers_ Kitchen Sinks L__ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan 0 06 Material of Septic Tank
7. Soil Conditions: Type of Soil �,,,.-cl' 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 Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches 4 LengtbL FT Width Z. I; PT Total39-D FT
Other -�— .�--
Signatur / r �.-
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
09/16/71 - Per request on 09/15 from Mrs. Kujawa, plot plan showing septic system mailed.
I
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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UN i-r ELECTRIC:
CONSTFkU-crI()N: y WAriER :
HEIGHT_ - GAS: —_
CONDITION : _SE_WEQ :
REMARKS : PAVE() ST:
IV,�F Sh'EPARD
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OWN IER M �►,�ciE �1�L�, PLAN OF LANO AT:
T 4t roo 5 GKEE� Ft6LU C�R�v�
ADO R E -- -
Cl- DATE: P.P2�� �9G $GALE:
T COUNTY BOOK OF PLANS:
PAGE No: LOT No:�o!- N
`I PLAN
DEED BOorc: MASS. LIcO ENGINLrERINa CONPANv INC.
PAGE No: 5394 602 WHITE ST. SPR1NaF1El0, MAS