HomeMy WebLinkAboutSeptic New 51 Birch Road SEE a"1° TOWN OF SOUTH WINDSOR P-rcm,-r
By eat*#. '° 14V4 BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. v4r//70-I
TO THE BUILDING DEPARTMENT: Date. 11 PV,4y 19-70
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following informatign is submitted:
1. Owner of Property Z4A&Jr"s ApynZ Address of Owner S/ 1&eow+ 2a4D
2. Location of Property Sa wp- Lot. No.
3. Type of Structure bWEu./!!/6 No. of Bedrooms 3
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises 0-W-6 Ci) fA-nt It
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 14AD QAL4o*J Material of Septic Tank STFeL
7. Soil Conditions: Type of Soil 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 Width Total
Other XNSTAttATi" aRs NFo-J 90"It TA414 O 4
Signature
(L W�lb ,s ericensed )
( etch showing all minimum distances and other d tails required below)
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Permit Issued /f MAT 19 70 By M4;LVf,4 EaWMAZ T4.
Installation Completed, Inspected and Approved M NAY 19�_ ByM�cv�N Faw,veas Ja.