HomeMy WebLinkAbout1967-4-4 - 152 Dart Hill Road - Septic ApplicationT _ f
OWN OF SOUTH aSOR WI N w°'
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System, rJ
Application No.
TO THE BUILDING DEPARTMENT: Dat 4
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: f /
1. Owner of Property. 2�tv>C , r{ } , ,_ ■ c Address of ❑caner
2. Location of Property _ c _� �■ L1 _ _Lot. No.
3. Type of Structure �z� r ��. �,�, No. of Bedrooms_3
(Dwelling, Comrnerelel Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises.T:!�__/
5. Plumbing Fixtures: Water Closets 1 Urinals Lavatories / JBathtubs
Showers_ Kitchen Sinks Laundry Tubs_ Garbage Grinder — Other / �� �n �•�� •L i ,Y
6. Liquid Capacity of Septic Tank :;2 Material of Septic Tank
7. Soil Conditions: Type of Soil C. /a _Maximum ground water table 7
{ Sand, Gr vel, Clay, etc.)
8. If not served by public water supply: Distance from Owner's well 7from adjacent wells ,7.7—�
0. Distance to nearest water course, drainage ditch, storm drain or embankment e:, C� _
10. Percolation Tests: Time for 1" drop in soil test Classification of soil_
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches 3 Length f z 7 Width anti Total fie -
Other
(Sketch showing all minimum distances and other details required below)
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• Permit Issued. 19
Installation Completed, Inspected and .A,pproved__
19 /