HomeMy WebLinkAbout1965-7-6 - 20 Deepwood Drive - Septic ApplicationTOWN OF SOUTH W i N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
TO THE BUILDING DEPARTMENT:
Application No.
Dat
/ r
1
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: L.rF7NVlcaz` Ce d,2
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1. Owner of Property - Address of Owner-
2- Lnratinn of PronertvvaD l f -e � .,1 1 ] r 1� I +f r I� ' \ k , \ f Lot. No. F Q
3. Type of
Bedrooms 1
4. Number of Families or Persons to Occupy Premises_,
5- Plumbing Fixtures: Water Closets Z— Urinals Lavatories Bathtubs _
Showers Kitchen Sinks_f Laundry Tubs Garbage Grinder Othe
6. Liquid Capacity of Septic Tankf_ /d o Material of Septic Tank fooc rf r r y
7. Soil Conditions: Type of Soil �,. n a��ra f.3^'J Maximum ground water table_
(San , ravel, Clay, etc.)
8. If not served by public water supply: Distance from Owner's well '" C fu•om adjacent wells r
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test =.- , /`r Classification of soil
11. Minimum square feet of effective seepage area required T-d d
12. Leaching System: Number of treiielics. Length Width Total
Other
Signature
f Ucensed Imtalle
(Sketch showing all minimum distances and other details req ' below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By.
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