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HomeMy WebLinkAboutSeptic New 91 Mark Drive T 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 W/3 19 A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is sub fitted: 1. Owner of Property Address f Owner 2. Location of Property Lot. No. 3. Type of Structure (Dwell! Commercial Building,Store,etc.) No. of Bedrooms 4. Number of Families or Persons to Occupy Premises_ (� 5. Plumbing Fixtures: Water Closets_ Urinals Lavatories U 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 (S d,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 f60 Width 30 Total '�1/0®' Other Signature (LcensedInst er) (Sketch showing all minimum distances and other details required below) Permit Issued 19 By Installation Completed, Inspected and Approved 19 By t a ` r TOWN OF SOUTH WIN DSOR �E AR '!> BUILDING DEPARTMENT f3u emacu rio, 3 9/40 South Windsor, Connecticut I'1l°o- l moo-9S' Application for Permit to Install or Re ai Individual Sewage Disposal System Application No. /498'70—/ TO THE BUILDING DEPARTMENT: Date_ZB ©CTOsSE/L 19_'j0 A permit is requested for a ai r construction of an individual sewage disposal system concerning which the following information is submitted: 1. Owner of Property *AP&A-V SI44L. Address of Owner-9/ A4/zk ZA-IdE 2. Location of Property SAMG Lot. No. OR 3. Type of Structure T)WAF441b/C No. of Bedrooms 4 / (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ GA 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 TanksoHe/LETEt L4Y444eJ� 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 of trenches wo Length 160 FT' Width aZ,5 FT Total yOd Fr. Other A4156 X IS n1 �!1_5L Signature �p ( ens I r) (Sketch showing all minimum dista#es and othe c et Hs req ired wow�og_3s�7S/9� �EE cW&& s`oA- Ph Permit Issued!P8 007 W Ei2 19-Y-Q Installation Completed, Inspected and Approved 911Tot362 19-'Le Byl�` r 3 T 19 MARK RGAO I ( _ ---------------------- 1 .. s �'if-s w c�'•d S j LOW � I � a_ 'A rYi A R K R C A C1 mA7 Rrr-RENCE GRAHAA SSTATES JECT I JN F I CT PIAM r'RCc-EFTV ^17' Iv'uPPtY r1,)a4ES , INC MEDALLICN HC,MES INC. M-AYES dr NEVE,S R r,DS9 jOUTH• *IwD:7 ,0R , CONN. SCLTN WINDSGR, CCNK `iCAiE oI = 4C" ,JULY I9�,E MORTON S. -' INE C. -. rEv rsec 7-?-56 �woER oKe� I HEREBY CERTIFY THIS PLAN TO BE SUBSTANTIALLY ENGINEERING AND LAND SURVEYING CORRECT; 740 NO. MAIN STREET. CROSSROADS PLAZA NO. 3732 WEST HARTFORD 7. CONNECTICUT <�yOC fSTEuRVR a� �,/� �r. E DATE REVISED D 4, f , "=40' i 0/7/6 3 6335 CR<!T BLUEPRINT 99RvrCM