HomeMy WebLinkAboutSeptic New 92 Norton Lane 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: Dat- - 19"<�
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is sul i ted
�/
1. Owner of Property Address of Owner !
2. Location of Property 2 _ Lot. No. L?
3. Type of Structure No. of`Bedrooms?3
welling,Commercial Building, ore,etc.)
4. Number of Families or Persons to ccupy Premises_ ^41—
5. Plumbing Fixtures: Water Closets, Urinals vatories Bathtubs _
Showers Kitchen Sinks_ La 'Ay Tubs : Garbage Grinder Other op
4j(GIPc�-�s.o�.
6 Liquid Capacity of Septic Tank �0�� 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 I , !Y Classification of soil
11. Minirnuin square feet of effective seepage area required �.
f
12. Leaching System: Number of trenches_ Length Width Total
Other 3 /cam
Signature3
(Iacensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19T By
r+ i C✓�J ���� i V- �"
too
i' • ,+ ' w i � l 1'� �
N Ct ice_ j
� w
PROPERTY OF
NO . NORTON LAND; SOUTH WINDSOR, CONN .
Being Lot No . 1 .1 on map entitled "l%'hilshire hoods Section II
Subdivision Map Prepared for Ross Hahn South Windsor, Conn .
John J , Mozzochi. f* Associates ,Scale 3 " = 40 ' 10-25-60"
Scale 1 " = 401
HAYDEN L. GRISWOLD C .E .
,t
a ,fin