HomeMy WebLinkAboutSeptic New 605 Nevers Road (2) TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date. /9�� 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is s m tted:
1. Owner of Property of Owner
2. Location of Property OS Lot. No.�_
r
1 3. Type of Structure
No. of Bedrooms
(Dwelli Commercial Build ,Store,etc.)
4. Number of Families or Persons to Occupy Premises
5. Plumbing Fixtures: Water Closets e`-- Urinals Lavatories Bathtubs j
Showers_ Kitchen Sinks / Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Odd 0-Material of Septic Tank 4 YU— .
7. Soil Conditions: Type of Soil Maximum round water
an rave, ay,etc.)
g table
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 %3 Length /ep3 , _ Width Total
Other y—
Signature amp
(Licensed installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By,
PICOT PLAN FOR
DAVTD- PATRIA _
--' SOUTH WINDSOR, CONN,
SC?ie Aug, 5 ,1 �64
Note ;
There is no building built
Therefore no violations of the
zoning ordinances'. .
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HER0y CERTIFY IHAT THIS MAP
IS SUBSTANTIALLY CORRECT