HomeMy WebLinkAboutSeptic New 81 Norton Lane TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Applica" n No.
TO THE BUILDING DEPARTMENT: 9�.�'
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is sulk ed:Old(u -
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1. Owner of Property Address of Owner eAy� �
2. Location of Property 8l Lot. No.��
3. Type of Structure No. of Bedrooms_
welling,Commercial Building, re,etc.)
4. Number of Families or Persons to ccupy Premises_ Cf>L4-11
5. Plumbing Fixtures: Water Closets__ Urinals avatories — Bathtubs_
Showers Kitchen Sinks�� Laundry Tubs Garbage Grinder Other
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6. Liquid Capacity of Septic Tank /l/-" A r yo 91 Material of Septic Tank .�
7. Soil Conditions: Type of Soil 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 Y ,,e
12. Leaching System: Number of trenches Length Width JD Total_. Z
Other✓��
Signature . &"X .
(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 WINDSOR, CONN.
Being Lot No . 11 on map entitled "Whilshire Wooda Section II
Subdivision Map Prepared for Ross Hahn South Windsor, Conn. '
John J . Mozzoaki tr Associates Scale V = 40 ' 10-25-60"
Scale 1" = 401
HAYDEN L. GRISWOLD C .E .