HomeMy WebLinkAboutSeptic Repair 40 Valley View Drive TOW_ N OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System/06,
Application No.
TO THE BUILDING DEPARTMENT: Date-- 4K• 19
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 z�' Address of O ner C;
2. Location of Property L A� Z�- -- S 4,`K4 Lot. No. �
3. Type of Structure 10"— No. of Bedrooms_
(DWC-1110g,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs t
Showers 1 Kitchen Sinks Laundry Tubs_/ Garbage Grinder Other
6. Liquid Capacity of Septic Tank 6r06 Material of Septic Tank
I'll 14
7. Soil Conditions: Type of Soil_`�t �m'y/" Maximum ground water table 2
(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 / O ��`"�� Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length 7 Width a Total 600 ezff
07/
Other 42
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved —19— By
r
OS
Go)
Ln
Ilk
/41
rL
At , - rr 'Sprr
��,C>4L)
� ALL eY V,
PROPERTY OF
NO. VALLEY VIEW DRIVE SOUTH WINDSOR, CONN .
Being Lot No . 68 on map entitled "Map of VALLEY VIEW FARMS Ellington
Road South Windsor, Conn. Property of Emma Palmer Kenneth Palmer
Soale 1" 80 ' Nov. 1 , 1966 Hayden L. Griswold C.E."
Scale 1" s 50 '
k
HAYDEN L. GRISWOLD C .E .