HomeMy WebLinkAbout1969-4-1 - 17 Deerfield Lane - 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: Dated_ `._ _ l 19(o_
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
F�wwr� .�GQAS
1. Owner of Property u't ff 0 Oc 1 S j ro Address of Owner lU M 9 9*�
2. Location of Property / i QC H k L I Lot. No.j 7 6
3. Type of Structure No. of Bedrooms_.L/ _
( Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises_ _
5. Plumbing Fixtures: Water Closets �2 Urinals Lavatories_ �L Bathtubs _
Showers Kitchen Sinks / Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank_ /o1 A Z> Material of Septic Tank
7. Soil Conditions: Type of Soil ij i)P-D Pfl C k Cs � Maximum ground water table _
Sand, Gravel. Clay, etc.)
8. If not served by public water supply: Distance from Owner's well from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil tesClassification of soil
11. Minimum square feet of effective seepage area required 91-2 0 _
12. Leaching System: Number of trenches Length Width R l�2- Total 9 1,?-
Other
Signature /K P L,
(Licensed inataller)
(Sketch showing all minimum distances and other details required low)
Permit Issued 19 ,,w�ryry By
Installation Completed, Inspected and Approved I_� 19 By A2t
�0
50
55.4
l_ 42"UO 1 O 9.00 1
pEER�1L_LD L.INr---AE
PERzNAI-F I-..ter-s
LOT #176, "BIRCH HILL ESTATES", SECTION #4
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALES 1" = 40,
r175
I, . s . #4395
Rockville, Conn.