HomeMy WebLinkAboutSeptic New 9 Valley View Drive a
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
� South Windsor, Connecticut
F`
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: DateC--()- �. 0In
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. WILL— MR / &S_ 6"LF Address of Owner. 63 140 PE
2. Location of Property 9 . W /V Lot. No.
3. Type of Structure No. of Bedrooms
welling,Commercial Building,Store,etc.)
or
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals _ Lavatories_ Bathtubs
Showers Kitchen Sinks,_ Laundry Tubs_I Garbage Grinder Other
6 Liquid Capacity of Septic Tank 1 o1XdQ _6 AILL• Material of Septic Tank
7. Soil Conditions: Type of Soil BARD AP E C Maximum ground water table_ &0A.JA5-
(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 ___ __ / O/ y•
12. Leaching System: Number of trenches T Length Width Total C �Q
Other
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
zz
- - - -- - - -AL —
b'
2d16
G
L
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
MEGSON 6 HYYPPA
CIVIL ENGINEERS
GLASTONBURY, CONN.
I
EL"L 1rJ�G"'CC7 N �1�Ap
25
,
�L
•-� I
a
-- - i 27, /I ---
�r L
�z
DATE �C TrL�T Nnv 74. 1Qj4'+"- -
�iEliTh-t - t4"
iJ�GILou...ro ' - 5•1 1\,1•J{,N [:u,w�•,r. vwce"e ---- --1
3c0
No nw BEOKac�m'. 4 w�,s.Ht�ctrAvetote_ � i, - !�.
t_ti FT c.F TT[rwy,N Ill'
F1 u1iHEL G2 A4E�
U Z \
un+ors��ceeeo Gxo�.-x5 �1 30..
L.c�z i-\NE= G\2 n'n MAP �N F\� -�\Z L•E�,_, --___�____.-_____________J .
h�AP' �C VALc-C.Y V'tW FA¢h\-- ELL,.J:Tow.i ram. ,.3' -'�,S' 1g•
�!-
E-MfnA
V'- ac Nov. 1, \9Sa R ( Nwvo¢•a L, "CC7 Qlf-
GCE�Swo�O, \9, 6t `r�nT to Lcn +
hlo 7�..r rn,c �/i o aT\O.a• V I L L
CERTIFIED SUDSTANTIALLYvCORRECTt
SO UT r-A \4j{V-t D
46