HomeMy WebLinkAboutSeptic New 54 Mountain Drive 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_ 2 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted, Ez J,ward %ed Io ,-h_
1. Owner of Property Address of Owner l c�
2. Location of Property
�V I 5A- AuWTA/A/ :)A)YS— Lot. No. Z,
3. Type of Structure -1 /`� No. of Bedrooms_
L (Dwe ing,Commercial Building,Store,etc.)
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4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fi tures: Water Closets Urinals Lavatories�� Bathtubs_
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank_ ( Material of Septic Tank G J? C r e 4e r r c W
7. Soil Conditions: Type of Soil ' Y 2 V-e- I Maximum ground water table
(88nd,Gravel,Clay,etc.) (� I
8. If not served by public water supply: Distance from Owner's well +1- 4 l 1�� 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 G� '-Classification of soil
11. Minimum square feet of effective seepage area required ,�'�Zi
12. Leaching System: Number of trenches Length-=2 ' -- Widt Q Total 6
Other 3 ;—;:IJ 2/ /z ,53�''
Signature O?Qa�
Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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NO. MOI1N1 A I N DRIVE
SOUtN wINDSOR, CONK .
L-:}t. No . 44 can neap entitled "Mar ()f OAK R lOoL ES TA [E:S Foster
Strc_c t, crr.E} !, irld ;c;r Conn . ( �f {i l_ 3f,'('t. - � �C'el I e' i — Ltd' ' Si i� J 1 fl >3
Hayden iswoId C . E . `•
NAYL!EN L . GRISWOL ) C . E.
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