HomeMy WebLinkAboutSeptic New 20 Herman Way TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System 9�I�
Application No. q
TO THE BUILDING DEPARTMENT: Date / Z d 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 4A Y 19rA c1 I/ Address of Owner J � � '� /�
2. Location of Property 612 Y' /13 a q/ iA Lot. No.—_
3. Type of Structure No. of Bedrooms_
+ LeDwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs Z
Showers_ Kitchen Sinks—�— Laundry Tubs_ Garbage Grinder Q Other 0
6. Liquid Capacity of Septic Tank //d U Material of Septic Tank C
7. Soil Conditions: Type of Soil ye l '/ / Maximum ground water table
(Sand,Gravel,Clay,etc;)
8. If not served by public water supply: Distance from Owner's well 1 1 from adjacent wells � /��
i
9. Distance to nearest water course, drainage ditch, storm drain or embankment 7e /l,-)C-
i
10. Percolation Tests: Time for 1" drop in soil test Classification of soil Q-
11. Minimum square feet of effective seepage area required d
12. Leaching System: Number of trenches Length 3 �/D Width t3 J Total f
Other � ' -as
Signature
0 + (Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
Vi" " Lot numbers refer to map entitled "Plot Plan Property of
Land Development Co . , South Windsor, Connecticut, Sheet
1 of i , Scale 1" = 401 , March 1966, Morton S . Fine & Assoc . "
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ry
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Proposed Layout
¢ 7® Estate Contractors Co. , Inc.
a Herman Way
I hereby certify that this from GMiO � South Windsor, Conn.
map is substantially correct t$r.tt'� {o
and no zoning regulations o a � SCAIE 1" - 4 0 S/31/6 6
ave been violated. NDRTON S. FINE, C.E.-L.S.
HARTFORD AND NORWICHp CONN.
01
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