HomeMy WebLinkAboutSeptic New 00 Foster Road (2) TOWN OF ` SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. F3�
TO THE BUILDING DEPARTMENT: Date 7 �Z G 19 b, �' •
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: n
1. Owner of Property- ,y s / �NC.` Address of Owner._ 1011X .?( YA AAJ c.V--.j�'r Y-
2. Location of Property J o 7 r )r, ,i.d Lot. No. a�
3. Type of Structure W 1 , No. of Bedrooms
(Dwell' Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ f �E'h9 i ' , n
5. Plumbing Fixtures: Water Closets _ Urinals Lavatories t Bathtubs 1
Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan Material of Septic Tank r0 G'r--e—' tr
7. Soil Conditions: Type of Soil Maximum ground water table
and,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 t 0 1� ,Zw Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches !Z— Length .Zd/ Width Z XZ Totals6Z
Other
Signature
(Licensed Ins e
(Sketch showing all minimum distances and other details requir ow)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PROPERTY OF
T.:
" NO FOSTRIt !GOAD 501'Tli 1 7NDSO!t, CONN .
Being Lot No . 2 on map entitled " Property II.Arped for K—C Construction
CO . foster itoatl South V. indsor , Conn . Scale 401 '-tar. 26 , 1963
Hay,ien t Griswold l: . "
Scale 1 " = 401 /�