HomeMy WebLinkAboutSeptic New 81 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. 2
TO THE BUILDING DEPARTMENT: Date J 191L
A permit is requested for repair or construction of an individual sewage disposal system con erning which the
following information is submitted:
1. Owner of Propert ddress of Owner
2. Location of Property 1 / �A D >: Lot. No.
3. Type of Structure to f-LL b No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
P4-Im<< Y
5. Plumbing Fixtures: Water Closets at Urinals Lavatories_ Bathtubs
Showers_ Kitchen SinksLaundry Tubs Garbage Grinder Other—A-/ �&
So
6. Liquid Capacity of Septic/,Z Tan • Material of Septic Tank
7. Soil Conditions: Type of Soil L Maximum ground water table < /
(Sand, Clay,etc.)
8. If not served by public water supply: Distance from Owner's well PY "C- from adjacent wells
9. Distance to nearest water course, drainage ditch, storm r in or
10. Percolation Tests: Time for 1" drop in soil test �/ C ification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches -3 Length Jv 7�Width Total! O (/
Other
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Signature mr-
G
censed Installer
(Sketch showing all minitnum distances and other details required below)
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Permit Issued 021-1 19 &P By
Installation Completed, Inspected and Approved e2 t1 S V 19_9 By 1%4 /�iGrls�(L
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TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. SO
TO THE BUILDING DEPARTMENT: Date 19 S
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_�� � U VJ ddrms of wner t > Ail-
��1,",
2. Location of Property uwlTl'4t^�iH�i/�� 1 C. Lot. No.�_
3. Type of Structure ^ 1 G No. of Bedrooms
(D elling,Co ercial Building,Store,etc.)
4. Number of Families or Persons to OccupX Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories_ Bathtubs._._
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank . o Material of Septic Tank tr } r i *- c _.1`0s d a�
7. Soil Conditions: Type of Soil r a Or 1 Maximum ground water table
(Sand,Gravel,Clay,etc.) P
8. If not served by public water supply: Distance from Owner's well 1 0 W ,. 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. a
s
12. Leaching System: Number of trenches Length Q o o Width 3 Total �'f>
Other Z 1 J Z vi
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required ow)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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1900
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FOR BUILDING PURPOSES ONLY
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