HomeMy WebLinkAbout1966-1-24 - 100 Bidwell Road - Septic Applicationa
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut Q ,
I
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date__�J 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: �^
sq//` f�= � i I Cx• 1. Owner of Property :��3.r,���r.• Address of Owner , �,{•��.. ,_ - ,,, •
2. Location of Property cell U Lot. No.
3. Type of Structure C e M If 9z No. of Bedrooms -
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises_ 160
5. Plumbing Fixtures: Water Closets _m� Urinals Lavatories Bathtubs_
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank �Id22 �y,¢ - Material of Septic Tank G d ,:.'c
7. Soil Conditions: Type of Soil S%�/- �� Maximum ground water table /D
( Sand, Gravel, Clay, etc.)
8. If not served by public water supply: Distance from Owner's well from adjacent we]
9. Distance to nearest water course, drainage ditch, storm drain or embankment 36
10. Percolation Tests: Time for 1" drop in soil test , Classification of soil___5y' Ac�(
11. Minimum square feet of effective seepage area required!
12. Leaching System: Number of trenches t -Length SG` Width ,' Total s r
Other
Signa
(Sketch showing all minimum distances and other details required below)
Permit
9 By.
Installation Completed, Inspected and Approved 19 By