HomeMy WebLinkAboutSeptic New 115 Hayes Road T i
" TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. 7Pf
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 ' bmitted
t
1. Owner of Propert em2e Address of Owner s
2. Location of Property��s Lot. No
3. Type of Structure No. of Bedrooms
(Dwelling,Com a ial Buildin tore,etc.)
4. Number of Families or Persons to Occupy Premises_ Ir
5. Plumbing Fixtures: Water Closets Urinals avatories Bathtubs
Showers Kitchen Sinks ` Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank R j40-6• Material of Septic Tank_f9iPf'4vw0`• ff� .
7. Soil Conditions: Type of Soil (/ 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 r
12. Leaching System: Number of trenches_ Length Width ,2AA Total
Other
Signature
_,:::f&—,,
77
(Licensed Instal )
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
LOT 64
HAVES ROAD
SOUTH WINDSOR, CORN
1 / 00,00
THERE ARE NO VICLATIONS c,r p 1 �°q1
.THE LAWS OF THE TOWN OF 1 I 1 O
SOVTH ViiNDSOR Sri l
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LCT AREA S fA } Y•` 1 i �°
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HaY�s RCAO
MAP REf EREXCE
GpAH'Aw! ESTATES SECTICN J
PROP.EpTY OF MURRY RomEB, lot'G.
MAYES AND N£VEwS ROADS SOUTH WI get)Sam PLOT Pf.Aet
CONN. SCALE I."`40N Ji- LY {cp56 FOR
M.S. FIME C.E. 7-7-56 f; REVISED} MEDALLION How11:8 ItvCo
SOUTH WINDSOft, COfju
I HEREBY CERTIFY
THIS PLAN TO BE SUBSTANTIALLYENGINEERING AND LAND SURVEYING
CORRECT; 740 NO. MAIN STREET, CROSSROADS PLAZA
NO. 3732 WEST HARTFORD 7, CONNECTICUT
",S-rE¢ a/� /� DATE EV D D
"=40 5/11/64 g3�