HomeMy WebLinkAboutSeptic Repair 24 Parkview Drive TOWN OF SOUTH WI N DSOR
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BUILDING DEfARTMEN'T �
South Win Connecticut Q /`
Application for Permit to Install or. Repai Individual Sewage DisposallSystem
Application No.
TtVmo
TO THE BUILDING DEPARTMENT Date / 194
A permit is requested for repair or construction of an individual sewage dispo al system concerning which the
following information is submitted: T
1. Owner of Property w., C i JZge r Address of Owner e 4 -�al.)(�y 2. Location of Property.� f -rf r.'e_,.D 7 Lot. No.
3. Type of Structure /J ► ,, No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ 41
5. Plumbing Fixtures: Water Closets Urin4ls Lavatories _ Bathtubs �
Showers ___ Kitchen Sinks_ Laundry /Tubs Garbage Grinder Other 11 uta r
6. Liquid Capacity of Septic Tank eo �ls a/. Material of Septic Tank Co
7. Soil Conditions: Type of Soil ate-, Maximum ground water table_ S f
(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 cc�O
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 l 7:�/ , Width O " Tota -S 15 171
Other
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By
' Installation Completed, Inspected and Approved 19 y
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f TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System-40�1//7,00
Application No.
TO THE BUILDING DEPARTMENT: Date A,,— a 1 19 � y
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property
pL - Address of Owner /11,1 4d.:;, S
2. Location of Property Lot. No. 511,
3. Type of Structure No. of Bedrooms
(Dwel' Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ --?
5. Plumbing Fixtures: Water Closets / Urinals Lavatories 47- Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Ji�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 Sd from adjacent wells -71
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 3 � Width � Total J:�- 7
Other
Signatur
a/--t-�-
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved ' u-u s> 19 GZ By
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CO�A cl y-�< y 0 QD N o i.�r�o w r ►-+i ry G� Fi EGU�Ac I c.►�S
Q�;, c <� AV V�OLArt -o AS T6 LA'COVC OF PROP.
`-44 / �` � O NOu SE
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PM.4143
ago
H -NRY CHARLES COTTON
4� oa
LAND SURVEYOR
STARDUST DRIVE GRANNY, CONN.
CUMED M BE SUMANTIALLY CORRECT
Olt SCALE;
REV. DRAWM G W to'1-44