HomeMy WebLinkAboutSeptic New 33 Norman Drive TOWN OF SOUTH WINDSOR 5,3
BUILDING DEPARTMEN-T
4
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. -?w
TO THE BUILDING DEPARTMENT: Date__ 31 19
A permit is requested for repair or construction of an individual sewage disposal s`y.`stem concerning which the
following information is submitted: JJ
1. Owner of Property �� d' /j �zd��.v Address of Owner 51 �
2. Location of Property �/ZC��Lo»,., ,�/�__/ ��zc� ,� �,( Lot. No.
3. Type of Structure No. of Bedrooms
(Dwelling,Cor.,gliercial Building,Store,etc.)
" 4. Number of Families or Persons to Occupy Premises_.
U
E 5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder%p1-.cm-kAther
6. Liquid Capacity of Septic Tank. �Lf 0 Material of Septic Tank/'
7. Soil Conditions: Type of Soil - �r���2i 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
ell. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Widt Total
Other
Signatures
(LWensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 2t?.Vy /4^.3/ 191 By
Installation Completed, Inspected and Approved 19 ,, By
FOR BUiLDIN PURPOSES
ONLY
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PROt'k".PTY OF
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.` . ;v:;l; i,.'t SOUTH ialNDSOR, CONN .
0 20_1 �' <.i.'.E.X VTI-,,td FARMS Ellington
Fa lm; r ra Kenneth Palmer
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