HomeMy WebLinkAboutSeptic New 1005 Strong Road TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date.- V, -A / 19��
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 A6,1 Address of Owner.
2. Location of Property- /ooS � ]` r e ,u -., P Lot. No. ,
3. Type of Structure �., .� /�a No. of Bedrooms �(Dwe lli ng,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets_ Urinals-0 Lavatories 2, Bathtubs__/
s
Shower _ Kitchen Sinks_ Laundry Tubs - / Garbage Grinder_ Other ()
6. Liquid Capacity of Septic Tank- // r� ��� �Material of Septic Tank C )4y e p
7. Soil Conditions: Type of Soil G (r Maximum ground water table_ 5�
(Sand, el,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well ,7S'( from adjacent wells_/Sd�
9. Distance to nearest water course, drainage ditch, storm drain or embankmenty-
10. Percolation Tests: Time for 1" drop in soil test ", in�MJ' Classification of soil
11. Minimum square feet of effective seepage area required 4 A d
12. Leaching System: Number of trenches- Z Length Width__ Total ,(tea 0 '
Other 11
Signature
�..icensed Insta ler)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PROPERTY
SURVEYED FOR
HAROL D J. A. COLLINS
STRONG ROAD
SOUTH W IND SOR, CONN.
SCALE: I INCH 40 FEET FEB.,1965
MELVIN C.STEAD,SR. L.S.
1 HEREBY CERTIFY THAT THIS MAP IS SUBSTANTIALLoY1 CORRECT.
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HAROLD J. A. COLLINS
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1-4-746't TO 4.OF
FOSTER ROAD
STRONG ROAD