HomeMy WebLinkAboutSeptic New 33 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 — 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submi d:
1. Owner of Property ,C�— Address of Owner
2. Location of Proper ' �"`� �3 Lot. No.
v�3. Type of Structure /? - - No. of Bedrooms__
(Dwe ng,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 0. Urinals d Lavatories Z Bathtubs
Showers Kitchen Sinks / Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank_!da° � Material of Septic Tank (' - A
?. 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--Ail. l 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 cy PV
12. Leaching System: Number of trenches Length y`3"' 0 Width a Total
Other
Signature
11/ AO-
/'(Licensed nstaller)
(Sketch showing all minimum distances and o4er details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
G-[i3o-z
Lot numbers refer to map entitled "Plot plan Property of Land Development
Co. , So . Windsor, Conn . , Sheet 1 of 1 - Scale 1" = 40 ' - Date, March, 1966 ,
Morton S . Fine Associates - Rev . 4-22-66 . "
O
18V.9-r`
r_
N _ �
2 P
2 �
3-
_ v
_ r- - - - - - -+ =
A.
N In
50.00• - L c 4S. �. r�4
y JOSEPH
LANE
PROPOSED LAYOUT
��coNM
c�,{N F• arc�,'� JAMES MILKIE BUILDERS,
INC .
t0►� 'S HERMAN WAY
I hereby certify that this �� � FA � SOUTH WINDSOR, CONN.
masp is ,substantislly correct E No. 5733 �e
and no zoning regulati ns =�fcsren�.?,,�'� SC*E 1" - 4 0 ' 1/2 2/6 8
have been viola -- �''a sukvE'�°* MJRTON S. FINE, C.E.-L.S.
�« r HARTFORD AND NORWICH, CONN.
r