HomeMy WebLinkAbout1963-12-1 - 19 Charing Road - Septic ApplicationTOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date •
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is s . `tted: L„ f
1. Owner of Property { �� Address of Owner _�?d _..
or
2. Location of Property Lot. No.
i
3. Type of Structure No. of Bedrooms
ell ing, commercial Building. Store, eta.]
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
rc i✓ �
6. Liquid Capacity of Septic Tank L4�Q A �" Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand, Gravel, May, etc.l
8. If not served by public water supply: Distance from Owner's well &- Le-Zc 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 c-D .,&7
12. Leaching System: Number of trenr,dws. Length Width ��' Total
Other- �•�' -
Signature
' (Licensed Installer 1
(Sketch showing all minimum distances and other details required below)
SF C� ,J r,
Permit Issued 19 Byf.
Installation Completed, Inspected and Approved 19 By
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0/71
PROPERTY OF
NO. CHARING ROAD SOUTH WINDSOR, CONN.
,' ng Lot No. 14 on map entitled "Whilahire Woods Section II
Subdivision Map Prepared for Ross Hahn South Windsor, Conn. John
J. Mossochi & A ociates Scale 1" — 40' 10-25-60"
r
Scale 1" m 40' (JGT. 2 /
HAYDEN L. GRISWOLD C.E.