HomeMy WebLinkAboutSeptic Repair 60 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. T�
TO THE BUILDING DEPARTMENT: Date. =l 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submit e :
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1. Owner of Property Address of Owner
2. Location of Property �0 U .i>�rI- �o ��L�otNo���
. _
3. Type of Structure_17 S/DC�/t No. of Bedrooms_
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ 15�_zz� 6
5. Plumbing Fixtures: Water Closets QZ Urinals Lavatories` Bathtubs_
Showers� Kitchen Sinks__ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank e- C .
7. Soil Conditions: Type of Soil /BARD P'^N s 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
12. Leaching System: Number of trenches_ Length 300 411A Width c2 h > Total -0 Y.
Other
Signature /V O ~/ )/
(LicensedInsta er)
(Sketch showing all minimum distances and other details required b
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
MEGSON & HYYPPA
CIVIL ENGINEERS
GLASTONBURY• CONN.
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CERTIFIED SUBSTANTIALLY CORRECTi
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