HomeMy WebLinkAboutSeptic New 7 Thomas Street TOWN OF SOUTH WI N DSOR
Are *dgID BUILDING DEPARTMENT YY''
South Windsor, Connecticut /vim° 70i g7
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. //0370—/
TO THE BUILDING DEPARTMENT: Date 03 19 70
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Propertyl4owAvED Address of Owner_ 7ZawsZ.tdr
2. Location of Property C00--J6e of I RWAAa Ir cook-T Lot. No.
3. Type of Structure bW rLJ.11 No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises,Omw cs] 0WAM11-Y
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic TankjC—Qz*r/n/a' Material of Septic Tank CO6/QQETE
7. Soil Conditions: Type of Soi19RA1 C.$ Maximum ground water table
(Band,Gravel,Clay,etc.)
/AI F/BoN-r cp ilouSE
8. If not served by public water supply: Distance from Owner's wellysFt � from adjacent wells?SF'r *044.3
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 rMAOW L33 Length /S' Ff Width a,5 Fr Total 357.-15's F"f.
Other
Signature (JAcenni�pp
ed bgm LwSN,Ew r![/ f cv�)- s S'915/z,
(Sketch showing all minimum distances and of er ietails require below)
SEE OUE•L FO& ame-71`J4.
Permit Issued 403 19 70
Installation Completed, Inspected and Approved o* l4,oVA*VAz-L 1970
i
�d
P{OtA�E I�IOe /
.e t'
TMo�tam �'�Ti2sr�'T'