HomeMy WebLinkAboutSeptic New 102 Highland Drive TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENTIod a�
South Windsor, Connecticut ,Z4'
Application for Permit to Install or Repair Individual Sewage Disposal System*//3o
Applicati n No. /
TO THE BUILDING DEPARTMENT: Date n it ( 19 b/
A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is sub '/tted:r
1. Owner of Property L C Al CYZ, Address of Owner
2. Location of Property A a Lot. No._ ice
3. Type of Structure w�~L f //�� No. of Bedrooms
welling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occypy Premises L
5. Plumbing Fixtures: Water Closets 0')� Urinals Lavatories Bathtubs-
Showers Kitchen Sinks, Laundry Tubs Garbage Grinder W ff-—E S-e-jpkt jE''
6. Liquid Capacity of Septic Tank_{��� PQ, '/�j�Material of Septic Tank. '
7. Soil Conditions: Type of Soil-0--' ff flQ� Maximum ground water table
(Sa d, ravel, ay,a c.
8. If not served by public water supply: Distance from Owner's well LIL from adjacent wells
9. Distance to nearest water course, drainage ditch, s rm rain or embankment
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches— Length r!/GL( Widt Tota Xl�= : ,`
Other OG L
X 4-
d r
Signatu Q
coned stall
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved i 09 19 62 By
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TOWN OF SOUTH WINDSORBUILDING DEPARTMENT
South Windsor, Connecticut for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date 19
—R
A permit is requested for repair or construction of an individual sewage disposal syste3 concerning which the
following information is sub fitted:
1. Owner of Property L /�/ R Address of Owner �� Gf'[ 6 GTL�TAe D�
2. Location of Property Lot. No. 1�
3. Type of Structure No. of Bedrooms
(Dwelling,cloininercia/l Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises�
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank
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
12. Leaching System: Number
/off ren hes- Length 0 Width_ Total
Otherii� ( ` 6J i" f w L L w 1 T-bL c e
Signature
( censed Ins ler)
(Sketch.sh Ig all i m distances and other details required below)
ff*P I Ale-, (Xlr 6k46�-
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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