HomeMy WebLinkAboutSeptic Repair 675 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: 1p
1. Owner of Property i Address of Ownerlo � i s .,,>
2. Location of Property n2M Lot. No.
T
3. Type of Structure ���-9 No. of Bedrooms
(Dwelling,Comme ial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ C/Yle:�- ---- �f
5. Plumbing Fixtures: Water Closets Urinals y Lavatories Cam— Bathtubs_
Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank
7. Soil Conditions: Type of Soil A;Ca-P?-- Maximum ground water table
(Sand,Gravel,Clay,etc.)
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 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
Lot numbers refer to map entitled "Plot plan , property of Land
Development Co. , So. Windsor, .Conn - Sheet 1 of 1 - Scale 1"=40,'
Date , March, 1966 - Morton S. ''Fine S Associates." . Rev. 4-22-66
1
Ham.
Gwn�eiil•/.
ti
4 39
s Z' .
�a �y is
PROPOSED LAYOUT '
1
` �.•"f�grN`C. .
• `A„ JAMES MILKIE BUILDERS,
NEVERS ROAD
+1. SOUTH WINDSOR, CONN .
I hereby certify that this
{' map is substantially correct esrea�°,�''�J It . t
and no zoning regulations 4�y••.••,•?100 SCALE 1 4 0 - 6=7=6 8
av been violated ft'-^.y».:u. °su�v� MORTON S. FINE, C.E.-L.S.
� � HARTFORD AND NORWICH. 'CON&
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