HomeMy WebLinkAboutSeptic New 401 Nevers Road M'
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System 9l
Application No. �/ /
TO THE BUILDING DEPARTMENT: Date 19
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/ P �tp�i o ry %1 z Address of Owner_ / •�l• / 0 a 6
2. Location of Property'060 -� Lot. No. !o O
3. Type of Structure L���� 1�
-- No. of Bedrooms
(Dw ling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises__ sl-12�
5. Plumbing Fixtures: Water Closets c;2— Urinals _ Lavatories , Bathtubs
Showers- / Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank ``
Material of Septic Tank /(�40"!L�'�1o �
7. Soil Conditions: Type of Soil (sand, Maximum ground water table
(Sand,G avel,Clay,etc.)
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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 t2 /2- _
12. Leaching System: Number of trenches Length 6;?A 3 Width � ` Total
Other
Signature. ,
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
L Or , 6E4
WEVERS ROAD
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I HEREBY CERTIFY !\�""_'7
TIi15 PLAN TO BE ENGINEERING AND ,LAND SURVEYING
SUBSTANTIALLY
CORRECT; 740 NO.MAM STREET.CRO$!§ROADS PLAZA
NO. WErvT HARTFORD 7,CONNECTICUT
SCALE VA T -REVISED DRWG-
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