HomeMy WebLinkAbout1966-8-29 - 161 Beelzebub Road - Septic ApplicationTOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to 146M Repair Individual Sewage Disposal System
)61 Application No. _
TO THE BUILDING DEPARTMENT: Date. t.e� �' 19�
A permit is requested for repair or construction of an individual sewage displIZI system concerning which the
following information is submitted: �7
1. Owner of Property �� �,l . ��� � ' ±-f _ Address of Owner_ 6 2,, I f
2. Location of Property� %/y F Q �� C Z u Lot.
3. Type of Structure, t 11lr Dwelling, Commerelal Building. Store, etc.] No. of Bedrooms J
4. Number of Families or Persons to Occupy Premises- Ica ih J_-fC_�
5. Plumbing Fixtures: Water Closets Urinals Lavatories Z Bathtubs
Showers =-- Kitchen Sinks _ Laundry Tubs_ Garbage Grinder 6 OtherO
6. Liquid Capacity of Septic Tank 6- 6 6 Material of Septic Tank_Qq t
i
7. Soil Conditions: Type of Soil 5����rrJ Maximum ground water table
{ a Grave , Clay, etc.)
8. If not served by public water supply: Distance from Owner's well � %S— from adjacent wells rt 1l� D
9. Distance to nearest water course, drainage ditch, storm drain or embankment t .? D v
10. Percolation Tests: Time for 1" drop in soil test `4 1h I W Classification of soil
11. Minimum square feet of effective seepage area required A s
i
12. Leaching System: Number of trenches Length X.S`o Width Total
Other,
Signature p A ��,Aff _
(L.icenaed Installer
(Sketch showing all minimum distances and other details required below)
/3
:14
�A I '
Permit Issued 19 By
Installation Completed, Inspected and Approved 19_
By,