HomeMy WebLinkAboutSeptic New 1535 John Fitch Boulevard Q�y9 %A TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No._/QO/69—/
TO THE BUILDING DEPARTMENT: Date—o/ QQT®Q 1969
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: nn
1. Owner of Property Address of Owner
2. Location of Property_ _. /5�33'' �/®mil /4iLiM /�JLV/p Lot,_ No.
3. Type of Structure &MMERC1.4,i No. of Bedrooms+
(Dwelling,Commercial Building,Store,etc.) T---
4. Number of Families or Persons to Occupy Premises ltw hj 1rAA L.&LS
5. Plumbing Fixtures: Water Closets Urinals. Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs .Garbage ' dear Other
6. liquid Capacity of Septic Tank' Material of Septic Tank LX-/e4 2
7. Soil Conditions: Type of Soil VAW u Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well fluu1 C. i 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 Classifi¢{ation__of.soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenc` --he +-s AIL Length 4AR l m"S Widthao S AT Total ldS' ;% XT
Other� roM ' Al. P E-Z /�IOsid QAIS wJo,L h Z&AWwrA �
Signature
( cens er
u,c��rr�.
(Sketch showing all minimum distances and a er de
s required below
Permit Issued O! L%TV.4L4L 1949 y ^++
Installation Completed, Inspected and Approved-IS/ &1WY- 19 69
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