HomeMy WebLinkAboutSeptic New 46 Kennedy Road �d TOWN` OF trSa TH WINDSOR
BUILDING DEPARTMENT
d
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. v �/
TO THE BUILDING DEPARTMENT: Date _ . / 19ZI-s"
A permit is requested for repair or construction of an individual sewage disposal system concer ng which the
following information is submitted:
1. Owner of Property J�If C Gv b 0,0 C'd C�( Address of Owner
2. Location of Property 4-6.7'-,a ,V,_— y Oee AD Lot. No.
3. Type of Structure 4 No. of Bedrooms
(Dwelling,Commercial BuTd— g,Store,RE)
4. Number of Fa4lies-or Persons to Occupy Premises— /1J
5. Plumbing Fixtures: Water Closets fZ Urinals 2 Lavatories S Bathtubs �—
Showers Kitchen Sinks — Laundry Tubs Garbage Grinder "— Other
6. Liquid Capacity of Septic Tank P 0 6 d l L. Material of Septic
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 2 - /h«i Classification of soil iVa
11. Minimum square feet of effective seepage area required P O Q
12. Leaching System: Number of trenches Length 7s, Width Total ,? S r
Other
Signature
(Licensed taller)
(Sketch showing all minimum distances and Cher details required below) „)
P
LI
8�
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Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By
TOWN OF Y SOUTH W1 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_
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-Z I," 6J r� is J r A r. Address of Owner o
2. Location of Property T:X to Q d y (� Lot. No.
3. Type of Structure C Jh Ike r 1 c rt I No. of Bedrooms d
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ �K .o e n v ZV--
5. Plumbing Fixtures: Water Closets 1— Urinals Lavatories 'Z� Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank /aZ d 6 Material of Septic Tank C b /Y' C r e 1�P
?. Soil Conditions: Type of Soil 44 ma( Maximum ground water table 3
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's welly from adjacent wells,&Jn2 t5 �71L
9. Distance to nearest water course, drainage ditch, storm drain or embankment iC�a
10. Percolation Tests: Time for 1" drop in soil test iAa /Classi&cation of soil /�-
11. Minimum square feet of effective seepage area required 4. 6 X A
i
12. Leaching System: Number of trenches .3 Length 0-6 Width A �� Total Z. d rv�i7►
Other 1.3 �5�� Z �Z ✓7c?r>o•
Signatur__l,r�`I.i ..
tensed Installer)
(Sketch showing all minimum distances and other details required below)
Z /Y C. e� 1 /C;L
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By