HomeMy WebLinkAboutSeptic Repair 283 Sullivan Avenue y
r
r TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date_ J 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: / 4'14
/1. Owner of Property 4MK G+ Address of Owner_
2. Location of PropertyC.t. LL/'za "���� Lot. No.
3. Type of Structure �a�LrTYh R Y f Q No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.
4. Number of Families or Persons to Occupy Premises_ 10
5. Plumbing Fixtures: Water Closets _ Urinals _ Lavatories_ Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank l .S D Material of Septic Tank_CM
_w-� h
7. Soil Conditions: Type of Soil �cZ—y! Maximum ground water table Vf
(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 l 6 S. -/�
12. Leaching System: Number of trenches_ Length Width Tota
Other
Signatur
(Li�ensednstaller)
(Sketch showing all minimum distances and other details required below)
t
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
� � s
y,
25.00'
91°'335'58,5
N/F A. PA �I
39.95'
R. TR
C4� I
Q4� j i 50'
81T cnNC, ry,w
1 N
YD. YD.
1.0 ACRE
84 C
PAVED R REA
Y.D.ih
N
WELDtNfr (iU51NE-5$ H
0) W TER LS.uE
�jO I
504o 3.77
200.00' 15'
ELLS WORTH SPERRY ESTATE
sd F NF s
No. 5032 2+'
•••,S•Ig yDdNNA11NgMNO��+���, � - .
I HEREBY CERTIFY THIS MAP TO
BE SUBSTANTIALLY CORRECT AND
IN ACCORDANCE WITH CLASS D ,
CODE OF CONN. TECHNICAL COUNCIL INC. PLAN OF- D=V E L O P M c't4 T
PROPERTY OF
ALVA & MARGARET K. ROSSI
SULLIVAN AVENUE SOUTH WINDSOR
SCALE I" = 40' AUGUST 1968
WILLIAM J. CARRINGTON REG. L.S.