HomeMy WebLinkAbout1971-5-24 - 21 Berle Road - Septic Applicationf--; A',,b TOWN OF SOUTH WINDSOR ��2�,1
ceMrXAtrca.- BUILDING DEPARTMENT
gY ° South Windsor, Connecticut r4,. ?/L �f
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No,(I 5_2 4'� 11 ' i
TO THE BUILDING DEPARTMENT: Date ✓ 1 4/ 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 CAeLo h 7-1 i���_ _ Address of Owner
2. Location of Property 21 4-Az Lot. No._ '7
3. Type of Structure wJ6«�rJC. No. of Bedrooms
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises C _ 1,LF161d 41
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
f� 6. Liquid Capacity of Septic Tank / 45-0 4 -Material of Septic Tank_
7. Soil Conditions: Type of Soil Maximum ground water table_
(sand, uravel, 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 9- m irj Li 7-6 $ Classification of soil
11. Minimum square feet of effective seepage area required/ ;�s Fr RF.e Ag-zQ- -U r,�z4g_ gc F7
12. Leaching System: Number of trenchejj/&46E C3) Length Q04 FT' Width _ Z, F7. Total 4/40 S9FT
Other
Signatur
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C '(Licensed Installer )
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(Sketch showing all minimum distances and other e i s require below)
Permit Issued / _ 19 % By
Installation Completed, Inspected and Approved 08 \AvME 19Z
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FOR BUILDING PURPOSES ONLY
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PROPERTY OF
I BUILDING PURPOSES ONLY
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NO. BERLE ROAD SOUTH WINDSOR, CONN.
Being Lot No. 7 on map entitled, "Property Surveyed for Carlo
Prestileo, Berle Road, South Windsor, Conn. - Scale: 1" = 401,
July 18, 1969 - Griswold Engineering, Inc. - Manchester, Conn.".
SCALE: 1" = 40,
GRISWOLD ENGINEERING, INC.
MANCHESTER, CONN.
Date: MAgc4+ z4-1D7_t