HomeMy WebLinkAboutSeptic New 365 Nevers Road 1 � • 1 I �. A
E
` 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 4f 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is ubmitted: n
1. Owner of Property ���-� � �C4eAddress of Owner-3 S AIEV"3 /[oQD
2. Location of Property _ Lot. No.
3. Type of Structure No. of Bedrooms
(Dwelling,Coin:me Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets / � Urinals Lavatories Bathtubs
Showers�Z Kitchen Sinks l Laundry Tubs Garbage Grinder Other _
6. Liquid Capacity of Septic Tank Z,d4 Material of Septic Tankk---�-
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Clay,etc.)
r
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 ,o- - _ Width Total
Other f
Signatur
(licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 A By
Installation Completed, Inspected and Approved 19 By
L'GT # 33
CORNER OF HAZEL ' NEVERs ROADS
DRIVE
SOUTH WINDSOR, CONK
ILA
TRcRE ARE NO VIOLATIONS OF !D O•a 0
ZON me" LAWS OF THE TOWN OF x
SCUT+ WINDSOR
° 33 71 �0
N
o al o
LCT AREA= 2- Z o v a STZ �I
I N.
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0 ,
HAZEL � — � � fz
�0
DRIVE
6
wi
Q2 g p.0 O
ftE►ER$ ROAD
MAP REF"ERENCE;
GRANAm EsrATES SECT-10% 1 . PLOT PLAN
PROPERTY Or MURRY RLME$ INC. FOR
HAYES Area NEVERS ROAQS SOUTH WINDS OR MEDALLION HCMEfi IKa
CONN. SCALE 1 "=40" J' , LY 1956 BOUT14 WINDSOR, COMO#
M.S. FINE 7-7.*56 ,.
I HEREBY CERTIFY
THIS PLAN TO BE
v0 ti�y�fc SUBSTANTIALLY ENGINEERING AND LAND SURVEYING
CORRECT; 740 NO. MAIN STREET, CROSSROADS PLAZA
WEST HARTFORD 7. CONNECTICUT
NO. 3732
�4,�F�°►STE�yO�f
SCA LE DATE ig E V I
1"=40,. 5/1 .1/64 6335
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