HomeMy WebLinkAboutSeptic New 8 Valley View 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—rz,�Ji- 07/1 19�j
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 Address of Owner 3 /t{Q I bE z-,b L A
2. Location of Property v X C . WIND.. Lot. No. Z oZ
3. Type of Structure
eking,Commercial Building,store,etc.) No. of Bedrooms
4. Number of Families or Persons to Occupy Premises— 0c
5. Plumbing Fixtures: Water Closets _ Urinals—�— dal Bathtubs_
Showers_ Kitchen Sinks,_ Laundry Tubs_ Garbage Grinder Other
6 Liquid Capacity of Septic Tank f 000 C= L. Material of Septic Tank_ C�/V G t�T''�- z
7. Soil Conditions: Type of Soil ARDPAQCCrRANFLMaximum ground water table PO/�/��
(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
12. Leaching System: Number of trenches` Length 373 Width Z-- Total
Other
�Signature (Likemedlnat.Rer) �
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
MEGSON 6 HYYPPA
CIVIL ENGINEERS
GLASTORBURY, CONN.
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