HomeMy WebLinkAboutSeptic New 123 Hayes Road ., Z -
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_ ZZ,ZA!5—3E 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information submitted:
1. Owner of Proper t Address of Owner
2. Location of Property2g Lot. No. 64:
3. Type of Structure No. of Bedrooms
(Dwelling,Comme cial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premis _
5. Plumbing Fixtures: Water Closets Urina Lavatories Bathtubs %
Showers / Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank - _Material of Septic Tankd.40
7. Soil Conditions: Type of Soil Maximum ground water table
(Band,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 /�D�
12. Leaching System: Number of trenches_ Length Q f Width �� t Total
Other
Signature
(Licensed In taller)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
LOT # 65
HAM ROAD
SOUTH WINDSOR, CCNI4
67
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g 3. 23
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T14ERE ARE KC VIOLATIONS OF I n
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TI+E ZoxtoC I-Aws- Or THE TOWN f _�
or SOUTH winDSORa E--�2:,�.
LOT AREA o Cq (,�„yr
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NAYES ROOD
MAP REPEItEMCE
GR.AHAm E TA,TES SECT I OAt I
PROPERTY4tor MURRY HOMES' INC.
H`AYES AM.D NEVERS ROADS SOUTH WINDSOR
CoONW SCALE I "_ 40v' J LY 1956 Pear 'PLAN
M-S. FlmE C.E. 7"7-o5t REVISE90 FoR
MEDALL IOK HOMES IKC
SOUTH WtIaDS OR, Ce 11114 b
<or CoN,yr. I HEREBY CERTIFY � '��� �� �a��ra
THIS PLAN TO BE
ENGINEERING AND LAND SURVEYING
SUBSTANTIALLY
t CORRECT; 740 NO. MAIN STREET. CROSSROADS PLAZA
NO. 3732 �� WEST HARTFORD 7, CONNECTICUT
<4 SCALE DATE REVISED D
t "=40' 5/t 1/64 6.335
c ui•rt� T <RVIC<