HomeMy WebLinkAboutSeptic New 17 Sunnyside Drive 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: Date._ /' / -- 190
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: � #A-'Ay-k-e
1. Owner of Property. t Address of Owner '3I.PV-��
2. Location of Property
N S tDY A�t�r Lot. No.
3. Type of Structure w No. of Bedrooms_
(Dwelling,Corpmerci Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Caj Bathtubs-
Shower s Kitchen Sink s Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 4„?J-71 Material of Septic Tanzz;r
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
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12. Leaching System: Number of trenches Length Width Total
Other
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required ow)
Permit Issued 19 By
Installation Completed, Inspected and Approved' 19 By
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LOT #i II, "zRCH HILT! ESTATES`
SECTION #5
TOWN OF SOUTH WINDSOR, CONNE+'.;TICU`T
SCALE: 1?' :s 40'
December '7 , 1966 Rockville , Conn,
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OTHER LAND OF UQR HOUSING C.C)Tzv=
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159 t
2A.50' L = 103 8,5
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