HomeMy WebLinkAboutSeptic New 49 Norton Lane - TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Applicat!n No.
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TO THE BUILDING DEPARTMENT: Date"T� 19 ,Z
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is su ' ted: 14,y //1 �
1. Owner of Property Address of Owner�� �iG�✓2���C �s ��
2. Location of Propertty 4'h Lot. No.
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3. Type of Structure No. of Bedrooms A?
Dwelling,Commercial Building tore,etej)
4. Number of Families or Persons to ccupy Premises
5. Plumbing Fixtures: Water Closets Urinals Lav ories_ Bathtubs_
Showers Kitchen Sinks—Z— Laundry Tubb Garbage Grinder2kZJA Other _.
6. Liquid Capacity of Septic Tank l eJUI Material of Septic Tank_
7. Soil Conditions: Type of Soil Maximund water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well f/L1 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 IVI i Z9 Classification of soil
11. Minimum square feet of effective seepage area required o2J
12. Leaching System: Number of trenches Length Bf 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
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PROPERTY OF
NO . NORTON LANE SOUTH WINDSOUP CONN .
Being Lot No . 9 on crap entitled "Wh.ilsh.ire Woods Section II
Subdivision *far Prepared for Ross Hahn South Windsor, Conn .
John J. Mozzochi F, Associates .kale 1 " = 40- 1 10-25-60"
Scale 1 " = 40 '
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