HomeMy WebLinkAboutSeptic New 00 Governor's Highway (5) TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. v
TO THE BUILDING DEPARTMENT: Date. _ June 11, 19 65
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
Governor' Highway
1. Owner of Property Rs=Onn arporatiAA Address of Owner_ South 'Windsor
2. Location of Property Corner Governor's Highway & Rte 5. So-Winds mot. No.
3. Type of Structure Commercial No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ �3
5. Plumbing Fixtures: Water Closets 6 Urinals 2 Lavatories 6 Bathtubs
Showers 2 Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 2500 vial. Material of Septic Tank. Concrete
7. Soil Conditions: Type of Soil Sand Maximum ground water table -8 4
(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 Storm drains on site
10. Percolation Tests: Time for 1" drop in soil test 2 minutes Classification of soil A
11. Minimum square feet of effective seepage area required 430 _s.f.
12. Leaching System: Number of trenches_ 4 Length 70 Width 10 Total 280
Other
J es L. Kell 101
Signature
sernaaiir-- r 4*,;- 7
(Sketch showing all minimum distanc a other details required below)
Permit Issued 19 By
Installation Completed,Inspected and Approved 19T By