HomeMy WebLinkAboutSeptic New 38 Hazel Street - TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
0/ /F
Application No.
TO THE BUILDING DEPARTMENT: Date.-
A permit is requested for repair or construction of an individual sewage disposal,system concerning which the
following information is submitted: wrZ
1. Owner of Property Address of Owner, p
2. Location of Property.3 8 Lot. No. o�O
3. Type of Structure_ &L No. of Bedrooms
( wellin ommercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises C1G nee
5. Plumbing Fixtures: Water Closets I �— Urinals 0_ Lavatories Bathtubs_
Showers_ Kitchen Sinks, Laundry Tubs — Garbage Grinder Other —
6. Liquid Capacity of Septic Tan &V_Z) Material of Septic Tank�� o
7. Soil Conditions: Type of Soil Maximum ground water table
and,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 -Ilk 7/�
i
12. Leaching System: Number of trenches Length Width Total y�
Other
Signature /�e�-z
( censed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
FSAZEL DRIVE
OUTHH WINOSOR,CONN.
THERE ARE NO VIOLATIONS OF THE
ZONING LAWS OF THE TOWN OF
60UTH WINDSOP,CONN.,
LOr AREA = 20,000 sort
roo.C7- 9
co
N
�`.
1 6
,a
� 1
i
4M i_tot �c 1
3 j
w �
f I BL
4O.a.L.
f �
I
HAZEL ORIVE
MAP REFERFtVGEs
GRAHAM ESTATES SECTION I
PROPERTY Or MURRAY HOMESVINC• PLOT PLAN
HAVE$ ANO NEVERS ROADS SOUTH WINOSORV FOR
CONN . SCALE I "=40' JVLY 19561 , ' MEDALLION HOMES , INC•
IM*S*FIME ,C•E. 7-7-56 (REVISED ) SOUTH WINDSOR ,CONN .
A'ko� kF I HEREBY CERTIFY
�r �' '^'s THIS PLAN TO BE
SUBSTANTIALLY ENGINEERING AND LAND SURVEYING
CORRECT; 740 NO. MAIN STREET. CROSS ROADS.PLAZA
No.5 7 WEST HARTFORD 7, CONNECTICUT
ISTEa�°
suRv* ; t � SCALE DATE REVISED D
,Ic4C' 3- 10_ 6 33 5
ut ss vrot