HomeMy WebLinkAboutSeptic New 00 Lake Street TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. J-e
TO THE BUILDING DEPARTMENT: Date_-_ a r`�[ 19 s
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submit d.��rige�lq�,q
1. Owner of Property Address o Owner
2. Location of Property �.l 'Z'� Lot. No.
3. Type of Structure w fIV No. of Bedrooms
(Dwelling,Co mercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises__��
5. Plumbing Fixt res: Water Closets Urinals Lavatories_ Bathtubs_
Showers Kitchen Sinks Laundry Tu Garbage Grinder Other
6. Liquid Capacity of Septic Tank 12 ateria1 of Septic Tank bpi
7. Soil Conditions: Type of Soil jQ A t, t r e- ` Maximum ground water table
(Sand,Gravel,Clayl etc.)Cy � Y
8. If not served by public water supply: Distance from Owns er's�dvell from adjacent wells
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9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test d o tl 7,r /n Cllaification of soil
11. Minimum square feet of effective seepage area required_ G
12. Leaching System: Number of trenches Length Width Total
Other
Signet
(Licensed Ins ler
(Sketch showing all minimum distances and other details requi ow)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
PLOT PLAN^FOR'
CARLO PRESTILFO
SOUTH WINDSOR S , CONN
Scale 1 11-40 1 Oct . 28, 1 964
N+pte ,
The is no building built.
Therefore there is no violations
\ of the zoning ordins.nces .
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uR i HEREBY CEF�1`1,`( THAT THIS MAP
IS S05STAWFALi.Y
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