HomeMy WebLinkAboutSeptic New 85 Lake Street TOWN OF SOUTH wiROSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal �System
Application No. I/ 7/
TO THE BUILDING DEPARTMENT: Date. 0 /9 "' 194
A permit is requested for repair or construction of an individual sewage disposal system concerning whlc the
following information is submitted:
1. Owner of Property C 1Y I o Address of Owners h 1\A,
2. Location of Property 61k Lot. No. 9
3. Type of Structure ��/�X No. of Bedrooms—
(Dwelling,Co ercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 2— Urinals Lavatories= Bathtubs "-a
Showers Kitchen Sinks�� Laundry Tubs Garbage Grinder L/D Other
6. Liquid Capacity of Septic Tan Z ��/ ,�/DWO Material of Septic Tank
7. Soil Conditions: Type of Soil ���R� r Maximum ground water table
(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 c�drain or embankment
10. Percolation Tests: Time for 1" drop in soil test /v Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Lengt Width Total
Other
Signature was
LfLicVsed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
ref el
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BLOT PLAN FOR
gARLO PRESTILEO
SOUTH WINDSOR, CONN.
,Scale 7 "-40 1 ]far.25 0 964
Note ; y
There is rio building built .
Therefore there is no violations
of the zoning ordinanoes.
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