HomeMy WebLinkAbout1963-12-1 - 22 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
�1 Applicatio -. No._
TO THE BUILDING DEPARTMENT: Date _ 19
A permit is requested for repair of Gas uction of an individual sewage disposal system concerning which the
following information is sub]p•tted: G1
r
1. Owner of Property Address of Owner_ ,
2. Location of Propert� r Lot No %
3. Type of Structure` No. of Bedrooms
welling, COmmerc3al Building, Store, etc.)
IL4. Number of Families or Persons to Occupy Premises_ f I
5. Plumbing Fixtures: Water Closets Urinals La v ories _ Bathtubs—/ _—Showers Kitchen Sinks I Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tanker Material of Septic Tank
7. Soil Conditions: Type of So' {Sand, gravelMaximum ground water table
, ]
8. If not served by public water supply: Distance from Owner's wellfrom adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test I . L� Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width Total
Other
ASi ature r ,•_
{L[Censecl InstAIlcr
(Sketch showing all minimum distances and other details required below)
* C �11 �
�.
Permit Issued _ 19, By
Installation Completed, Inspected and Approved 19 By.
V
U
,,r • o16�
f
I
r
� ,
i
i
oit- -- --�-- --- —__ —
� ^ U
l'
PROPERTY OF
NO. CHARING ROAD SOUTH WINDSOR, CONN.
Being Lot No. 17 on map entitled "Whilshire Woods Section II
Subdivision Map Prepared for Ross Hahn South Windsor, Conn. John
J. Mozzochi & Associates Scale 1" = 40' 10-25-60"
Scale 1" = 401