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HomeMy WebLinkAboutSeptic New 173 Miller Road' SEE ��ib TOWN OF SOUTH WI N DSOR BUILDING DEPARTMENT P6-4144rr QQ..,Y�2 Tu AV Qci� ��� South Windsor, Connecticut ,,Ju, 70-9.& Application for Permit to Install or Repair Individual Sewage Disposal System Application No. /O a9 70-/ TO THE BUILDING DEPARTMENT: Date_ 9 dorVA 19---W— 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 Qu$! Z /s5c1,-4 Address of Owner/G►2UFT�2, AnJC hESlor2 2. Location of Property 4 &-A 12cAb Lot. No. 3. Type of Structure D No. of Bedrooms_ (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises od,57 c» --A M IA x 5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tankf24"b fsi "eml Material of Septic TankCorlc�2 Try 7. Soil Conditions: Type of Soil Maximum ground water table- (Band,Gravel,Clay,etc.) 8. If not served by public water supply: Distance from Owner's well 74Fz f- from adjacent wells 7S f"T 9. Distance to nearest water course, drainage ditch, storm drain or embankment 10. Percolation Tests: Time for V drop in soil test 3,mial"�rx-S Classification of soil 11. Minimum square feet of effective seepage area required 4EDILcn% r&/A,t- or szo Srt i'r 12. Leaching System: Number of trenches I ia&SF C31 Length V l.as IFT Width ,e'T TotalSyi SS Fr: Other Signature cenaeNnataller) ( (Sketch showing all minimum distances and other- equir,=Io v�l3yo3cf3� See oOor or sk.4-k Permit Issued aR Qcr©.ate 19 -10 By Installation Completed, Inspected and Approved ay GL 1970 By 91 ` r 1 1 1 I 1 1 r �Q f `71 1 1 I f ( f 1 I � 1 1 1 r I 1 1 1 I f 1 1 I 1 ' r � I I r I 1 1 1 I ' 1 7S� N14161!8/:�2r5 la�Et!_ 1 r 1 1 r 1 1 TOWN OF SOUTH WINDSOR TOWN HALL SOUTH WINDSOR, CONN. o6074 DEPARTMENT POLLUTION CONTROL Date The Sanitary Sewer Septic System. or lot #. . . . . . . . . . . . . . .. has been installed and completed in accordance with the Town of South Windsor ordinances and regulations. Accepted and Approved By Date ll�Ef To NJi91 'iPRopEFTY of AGL6N �EALTj C7. tt U ✓ G/L /NE T T (; Z 0 2 S8. 96 / /�qo v Pin /RoN 1�iv \ �0 1 ' r• � �R E,�9 = /• ,2 5� .� ��,'ES' - ���� �� '� ° tom- '� �' res w O ki rnA do �9 o //fON 9 9.S't re /eON P/N fJ,Q�Y /�O, E.J'TENS/ON r�rZ Rs/. ro MAa 'P P cAG Off! t:St t i sc.4�d /„ �fD aTy ,� 63 W/ctiy T. CH-?RiN6To�✓ c.S.Ti5//S' LoT iS NON-Coit/FaiS'il/iVb, TGIJ ,//VIC fJRt' s�'l /Yo. �83 f�4o�! ao�vi vG /SoyYo of/9P/�E9LS SO u T/y/ V✓/N�U..SO R� CO Ni1/.l •.TciNE /.3/ i 9 70 . 9 Sol� Tfs' w/ivpSo�? COoVAI, I XE.Q,E B� CER T/FY T,VIS /✓/AO To .8E .SUB-5, 7-/�9LCy - �f.� CoRR ECT A/YL� //V 9G'C'ORD�9/�/ CE v1�/T-5 C'L,q.SS 0 a,� coos o,�- Co.v�.; TE C�5'N'i c.9� covwCiL 1'/vC, DRAWN BY -VASCALE /�- _ ¢o ' � DATE '� ` /9 70 NO. DATE DESCRIPTION BY APP BY �osavM McaRrrr a co. REVISIONS