HomeMy WebLinkAboutSeptic New 133 Hayes Road r TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENIT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date 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 D"/-/D/,///-0,*r 4S.�zc_Address of Owner_l3D x P-o.xc
2. Location of Property ! 33 yg rL%5 2� Lot. No.
3. Type of Structure No. of Bedrooms 3
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories_ Bathtubs_
Showers_ Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank&ZT AP, Material of Septic Tank_ Gam,
7. Soil Conditions: Type of Soil Maximum ground water table
(Ban , ravel,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 f�®'
12. Leaching System: Number of trenches Length a Width Total374 -V
Other Signatur,/_f� .,.��
JLicensed In ller)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19,�,_ _ By
t,Qr # 66
h+AVre R`OAO \\
� r
SOUT4 WINDSOR CONK'
��.,
IX
�f68
,MI ,
i. o
THERE ARE NC V IOLAT I CUS of � L�a_r'
T1t: -,on two LAWS P TPE ZO _
OF BOUT% ',!ShaSbIR.
t
' 33'
H+AYES ROAD
MAP R',EFTA
s,mAM,s r YgYES SEL'T 1 C M f .
r' Ri7f�E TYR43F AAi1>~';;Y 'Hr mrs ihcG
SAYr3l AND . 11,EVEAS POs:08 �;CUTH 14.#!�f'+.1�atiR
wSRN SCALE Ow 401 JLY 1956 i�'Lot P'LA t
y
O,A,LL IC,N '-lostES I
E°i�corq'���`•. I HEREBY CERTIFY C
"� p*` fsr,y��`�► THIS PLAN TO BE
SUBSTANTIALLY ENGINEERING AND LAND SURVEYING
CORRECT, 740 NO. MAIN STREET.CROSSROADS PLAZA
i
may �F WEST HARTFORD 7, CONNECTICUT
a r n
1 +Mice 5/1 1I A 63Y
Vt 1 T