HomeMy WebLinkAboutSeptic New 23 Herman Way TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. /
TO THE BUILDING DEPARTMENT:
Date.
A permit is requested for repair or construction of an individual sewage disposal
following information is submitted: system concerning which the
1. Owner of Property 4 Address of Owner
2. Location of Property Ala
a rl
3. Type of Structure
Lot. No.�_
well Commercial Building,Store,etc.) No. of Bedrooms_
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals `�
—__fit____ Lavatories—_ Bathtubs_
Showers_ Kitchen Sinks_ / Laundry Tubs_ Garbage Grinder
- d _ Other 6
6. Liquid Capacity of Septic Tank n r)
Material of Septic Tank_C n i ��
7. Soil Conditions: Type of Soil_ G'iP/41/c.
Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well U
from adjacent wells /`)%) �
9. Distance to nearest water course, drainage ditch, storm drain or embankment_ /1)/),1 i
10. Percolation Tests: Time for 1" drop in soil test_ 3_ dd
Classification of soil_ /T
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches-4 ,12 -- Length a
*""Width Total
Other
z .1
Signature e „
(:,sensed Installer) ---
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 B
Y
Installation Completed, Inspected and Approved_
19 By
Lot numbers refer to map entitled "Plot Plan Property of
Land Development Co . , South Windsor , Connecticut , Sheet
1 of 1, Scale 1" = 401 , March 1966 , Morton S . Fine & Assoc . "
A
2 � a
T'o -�d.
0
Proposed Layout
`� •� f = Estate Contractors Co. , Inc ,
n tr Herman Way
I hereby certify that this �'� n . � ' < South Windsor, Conn.
map is substantially correct hrt s`
and no zoning regulations ` '-� F L SCALE 111 - 401 S/31/66
ve been violated. r'" MORTON S. FINE, C.E.-L.S.
f ��� HARTFORDp CONN.