HomeMy WebLinkAboutSeptic New 508 Burnham Street TOWN OF SOUTH WINDSOR
FE! A&C. BUILDING DEPARTMENT PFRMiT�
aU o4 7 O South Windsor, Connecticut Md. v^
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. D!'t
TO THE BUILDING DEPARTMENT: Date o 1970
A permit is requested for repair or construction of an individual sewage disposal system loncerning which the
following information is submitted:
1. Owner of Propertyaiwa rx i4o&& e—Address of Owner
2. Location of Property 'uuA#J#W 1 SrVadwr Lot. No.
3. Type of Structure Lo#AoAgrRQlAL i%"1Le1Mfi No. of Bedrooms
(Dwelling,Com ercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premise s20 604fte1.I0ES
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank'_am LL04 S Material of Septic Tank
7. Soil Conditions: Type of Soil :ANC Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well VIMLL496 from adjacent wells •�
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil testl3 *Aa*J W% Classification of soil
11. Minimum square feet of effective seepage area required 13t` %ft OCT
12. Leaching System: Number of trenches el&-Wr 4r C ) Length—1 A2 FT Width'.>z FT Total /SSo sq Fr
Other
Signature
(TArensed Installer)
(Sketch showing all minimum distances and other redis require ow
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Permit Issued O*V Aa,ga rr 1076 B -
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Installation Completed, Inspected and Approved o8 2 EPTEiM6G2 19Z ;•�w T�
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TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . . ..J . . . �. . . . . . ./ l .
The Sanitary Sewer Septic System . . . . . . . . . .
at
or lot #. . . . . . . . . . . . . . . has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted and Approved
By —— --- Date —
-ruWN Or SOUTH WINDSOR
APPLICATION FOR SITE INVESTIGATION AND PERCOLATION TEST
Information to be supplied by Applicant:
Name and Address of Applicant Jv/Q/
Location of Property u
Address, Street, Lot Number
Name- and Address of Owner
Site of Loth y Type of Water SuPP1
A
Signature of Applicant Date
Information to be sucplied by Health Department.•
Description of Property
Soil .Conditions
Observation Pit #1 Observation Pit #2 Observation Pit #3
CJ to_ (2 1-5 x to to
to to
-�--
knact4 to to
t0 .. - t0 't0
to f _ L �Z d to to
L_ o4 of Percolation Tests:
Test Water Time Rate Test Water Time Rate
Hole # Depth Time Level Interval Drop Min. /In. Hole. YP_Depth Time Level Interval Drop Min./In.
13 15 •,
300 1 y �Sr.in i� 3®istrn.
Design Rate
Design Rate
Remarks ae&i� ..
v
L
O� ✓wp 3S� O� Vie . t
Tests conducted b -
Y_- _ �` �.�� _Date
Approved for septic system - yes 4--' no
(� So/ !p'
Signature of Sanitarian O A,74 Date 3 g