HomeMy WebLinkAboutSeptic New 56 Hazel Street ,r
.. TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System r
Application No. /-/
TO THE BUILDING DEPARTMENT: Date. - '7-o 19 (o�`
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 Address of Owner
2. Location of Property/ Lot. No.
3. Type of Structure No. of Bedrooms
(Dw ing,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises—&—
5. Plumbing Fixtures: Water Closets Urinals_ Lavatories Bathtubs
Showers_I Kitchen Sinks_ Laundry Tubs — Garbage Grinder Other
6 Liquid Capacity of Septic Tank "V Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table
(S d,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 .1-I f 7 2�
12. Leaching System: Number of trenches �12 Length_ Width c>2 Total Z/Jo 7 Y
Other
Signature
( 'censed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
..LOT #30
E HAZE6 DRIVE
SOUTH WINDSORtCONN . -'
THERE ARE NO VIOLATIONS Of THE
ZONING LAWS OF THE TOWN OF-
SOUTH WINDSOR.
LOT AREA = 20,000 S*F.
1 / 6 ` � r 61
i
v
47 BL ate_
F. F.
19 4. c N �'
7. 25 Z "Vey, an
�I 5
N �
I
F;
HAZEL DRIVE
MAP REFERENCE:
GRAHAM ESTATES SECTION I PLOT PLAN
PROPERTY OF MURRAY HOMES , INC. FOR
HAYES AND NEVERS ROADS SOUTH WINDSOR MEDALLION HOMES , INC.
SOUTH WINDSCR� CONN°
CONN. SCALE I "-1F0' ,1ULV 1�56
slice PINE ,C.E • 7-7-56(REVISEO )
Of COAJ
oN'FENsi �, I HEREBY CERTIFY
F, THIS PLAN TO BE
E z SUBSTANTIALLY ENGINEERING AND LAND SURVEYING
No,
CORRECT; 740 NO. MAIN STREET, CROSSROADS PLAZA
5617
/STE
`RAFG pQ ' WEST HARTFORD 7. CONNECTICUT
hp SUR,r�O _
'+*wSCALE DATE REVISED D yy
40`
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