HomeMy WebLinkAboutSeptic Repair 75 Valley View Drive w TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMEN'T
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. ?�W _
TO THE BUILDING DEPARTMENT: Date—___� 19 (513p,
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 i�'f/Y /-t/ L'� 'ram "� Address of Owner
2. Location of Property c`zc ' �� � /✓�, Lot. No._` 2 _
3. Type of Structure ." Z�� No. of Bedrooms
(Dwell g,Commercial B ilding,Store,etc.)
4. Number of Families or Persons to Occupy Premises-- ,
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder. Other
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6. Liquid Capacity of Septic Tank / . Jl L� ` �� Material of Septic Tank /7�t? ,rlw��r
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,CYay,ete.)
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 Widt �. I-Ze-:. Total
Other
Signature
(Lice6ysed Installer)
(Sketch showing all minimum distances and other details required below)
35 J
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
FOR BUILDING PURPOSES ONLY
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PROPERTY OF .,
NO . VALLEY VIEW. DRIVE
SOUTH WINDSOR, CONN .
Being Lot No. 42 on map entitled "Map of VALLEY VIstJ FARMS ARMS Ellington
Road Souti, Windsor
, Conn. Property of Emma Palmer U
Kenneth Palmer
scal-e 1 �' rz�� Nov, 1 , 1960 Hayden L. Griswold u .i% ls
5Ca.1 p
HAYDEN L. GRISIVOLD C.E .
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