HomeMy WebLinkAbout155 Abbe Road Septic TOWN OF SOUTH WINDS �2,sposa,
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual S System
Application No.
TO THE BUILDING DEPARTMENT: Date. c0: � �" 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: -
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1. Owner of Property ' LJu�� Address of Owner c% r.•c-
2. Location of Property '�—� Lot. No.
3. Type of Structure No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals 4:52 Lavatories Bathtubs
Showers/ Kitchen Sinks,_ Laundry Tubs_Z Garbage Grinder e_ Other -�4 -
6. Liquid Capacity of Septic Tank4;;;l—' z`7—nez Material of Septic Tank e—V-4
7. Soil Conditions: Type of Soil Maximum ground water table
Sand,Gra el,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well �FLC from adjacent wells
9. Distance to nearest water course, drainage ditch, storm
�d��raiinGor embankment /001
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 Width Total l-f
Other
Signature
/erdet
censed Install
(Sketch showing all minimum distances and aails required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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I HEREBY CERTIFY THIS MAP TO PROPERTY OF
BE SUBSTANTIALLY CORRECT AND
IN ACCORDANCE WITH CLASS D FRANK E . M A R Y A H E A R N
CODE Of CONN. TECHNICAL COUNCIL INC.
VA��
ABBE ROAD SOUTH WINDSOR
I dill- SCALE III = 40' AUGUST 965
WILLIAM J. CARRINGTON, REG, ' _