HomeMy WebLinkAboutSeptic Repair 00 Sullivan Avenue (10) TOWN OF. SOUTH WI N DSOR
Q BUILDING DEPARTMENT
South Windsor, Connecticut
,o Application for Permit to Install or Repair Individual Sewage Disposal System
Application No._1t1969-/
TO THE BUILDING DEPARTMENT: Dat A1.oV r,.A-- Z 19 69
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property:1&e&rK V AwLt L L/ Address of Owner
2. Location of PropertySuttf VAXV PV4r",J t0- Lot. No.
3. Type of Structure NNlpfAF2Ch4L
(Dwelling,Commercial Building,Store,etc.) No. of Bedrooms
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank
7. Soil Conditions: Type of Soil 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 drain or embankment
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width Total
Other A& A41,0,Ml QALAS Lb ZAT/ $e.b o-VO-47
Signature
(�rc�T�etlrYtM
(Sketch showing all minimum distances and other aetails regwred below)
Permit Issued A100607 46a- 19 6 B `
Installation Completed, Inspected and Approved IVI �El`Fy�,Er� 1969 g