HomeMy WebLinkAbout1970-6-26 - 239 Avery Street - Septic Permit and As Built11, TOWN OF SOUTH WINDSOR
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`�_4400 BUILDING DEPARTMENT ,00
South Windsor, Connecticut /` o. %0 --y �
Application for Permit to Install or a ai Individual Sewage Disposal System
Application No. &.2 6 ?a -I
TO THE BUILDING DEPARTMENT: Date_ s d .7r,,r 19�
A permit is requested for re air r construction of an individual sewage disposal system concerning which the
following information is ��submitted:
1. Owner of Property_ `�o t4•-4 Oa e i k=F 11,4 Address of Owner_2 3 Y c R� S-rd EET
2. Location of Property $AMA Lot. No.
3. Type of Structure "bCoatr"n1C No. of Bedrooms
(Dwelling, Commercial Building, Store, etc.) - —
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 EX(STOJ Material of Septic Tank <X-, ic-rc�
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 ivF is Length /Sc P',itf + Width22, S --,FA-T Total 287, S151 Fi
Other r
Signature
��j co'�;nstaller)
(Sketch showing all minimum distances and otfie� e e ails regui9 �elow) (W9-
Permit Issued tA6 -un/4-- 19 7O By EL 4!513e01JS r2
Installation Completed, Inspected and Approved 30 19-743 By e Fekarb�AS ,T,z
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