HomeMy WebLinkAboutSeptic New 411 Nevers Road 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. 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 Propert��e �.��- Z707--r�. Address of Owner
2. Location of Property 411. Lot. No. 70-0�/,
3. Type of Structure ` No. of Bedroo s
(Dwelling, cial Building,,etc.)
4. Number of Families or Persons to Occupy Prem e _ r
5. Plumbing Fixtures: Water Closets 2---- Urinals a tories Bathtubs l
Showers_ Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank 1Vei "008 '
7. Soil Conditions: Type of Soil Maximum ground water table
(SanU,Gravel,Clay,etc.) r,
8. If not served by public water supply: Distance from Owner's wel 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 /tea
12. Leaching System: Number of trenches_ Length la2d Width O�� Total 3d
Other
Signature
(Licensed Ins r)
(Sketch showing all minitn,um distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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Cb`R> EFt OF' FAMES & NEvERs. ROADS \r
SOUTtt, Wt.kDsOR, 'COMM
66
IUVERS ROAD
44
4AP ttEVIEICI
yst.-Y 05056 1.0T. >`C,AM
f
o ;'��. y I HEREBY CERTIFYE'K
x rN'Fe THIS PLAN TO' BE a
0' $�0:.�G= SUBSTANTIALLY ENGINEERING AND LAND SURVEYING
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CORRECT; 740 NO. MAIN STREET, CROSSROADS PLAZA
WEST HARTFORD 7.CONNECTICUT
SCALE%� 7"i�F r• —DATX REVISED
DR WQ No ,
6335
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