HomeMy WebLinkAbout1966-8-8 - 23 Carman Road - Septic Applicationti
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut 6
Application for Permit to Install or Repair Individual Sewage Disposal System
Applica 'on No.
TO THE BUILDING DEPARTMENT: Date Cry[ 1 L' lg
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: �J %
1. Owner of Property Ei L AF A'*/Address of Owner �
2. Location of Property �[ [_ .1' p _ Lot. No.
3. Type of Structure t4 & 4— L �IV h nNo. of Bedrooms `
( Dwelling, Commer'clfal BuWdfng, Store, ew. )
4. Number of Families or Persons to Occupy Premises �' Ffr 1y a— Y
5. Plumbing Fixtures: Water Closets Urinals �— Lavatories Bathtubs
Showers Kitchen Sinks sundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank C' U L Material of Septic Tank Lt�
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7. Soil Conditions: Type of Soil J L/Maximum ground water table
(Band, Gravel. Clay, c.)
8. If not served by public water supply: Distance from Owner's well G from adjacent weUs.�
9. Distance to nearest water course, drainage ditch, star rain or embankment o vc—
10. Percolation Tests: Time for 1" drop in soil test Classification of soil t
11. Minimum square feet of effective seepage area required / G
12. Leaching Syitem: Number of trenches Length 3 r Widt Total
Other !l �� 3 �1��`G"+�- ��G i�E'GS� d. . , �.�� 'J
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Sign
(Sketch showing all minimum distances and other details required
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Permit Issued
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19 By
Installation Completed, Inspected and Approved 19 By