HomeMy WebLinkAboutSeptic New 459 John Fitch Boulevard TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date - & J 19�
A permit is requested for repair or construction of an individual sewage dispo al system concerning which the
following information is submitted:
1. Owner of Property ALL Co R p Address of Ow//ner_p ROUE �- �n w/A.)OSOr�
2. Location of Property I 'S d, W i 1V 0 c 01Z 7_ J Lot. No.
3. Type of Structure C O 91-06 - No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ /* TO a 0
5. Plumbing Fixtures: Water Closets c3L Urinals / Lavatories _ Bathtubs
Showers Kitchen Sinks I Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan t�DQ --0Material of Septic Tank r-r AI r. ,
7. Soil Conditions: Type of Soil SAU 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 of trenches__ Length ,%SZ> Width ; Total
Other
Signature
(Licensed Ins ller) A
(Sketch showing all minimum distances and other details required below) /V
v
Permit Issued 19 By
Installation Completed, Inspected and Approved lg By
SEWAGE 5 YS 7r-XM LAY-O or
FOR ALL CoiRP 50-WI moq
-JUL r z /ur
VIOLETTE SILVESTER & SCONS, INC.
--� 65 CHERRY ST.
EAST HA,RTFORD, CONN. 06106
L
90
C Ros sy sEcriev
00,
VARIES4. a//15IAY
—4�
/Csoo cons.
SEP7'
N_ao w 1l'l{ ear.
up-cc our — OF aN%T
of � -- �' �' • tF ��
5805
W �Pp REGISTERED
�
s- a9= 3a �FssiQn► EN����
SCALD T� p
Do-NoT SC+�tE E � Sv. W I N PSD R
FQ U
u l• y
PROPERTY OF
l(A L L C o a P-),
SOUTH W/NDSOR I C ONN.
JvL1' . , 19 G S-
SEWAGE S YSTMM
LAYOUT
o p'
a9
/5
fsoo VARIES
H GONG.Sapi/c TANK , _ 4pTo
O
DE
E—d4'N�i
ti
CON
3°
6CA LE / ap
N0. 5805 �
AtO REGISTERED
S��NAL �-�