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HomeMy WebLinkAbout1966-6-2 - 24 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 YX471 Application No. / TO THE BUILDING DEPARTMENT: Date 19 66 A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: 1. Owner of Property %-_ _ Atddre�sof Owner 2. Location of Properrty, L L� ! �&6961c a 4,44 � Lot. No. 3. Type of Structure_ No. of Bedrooms _ [X1 el�Camerclaiui]ding, Stare. etc.) 4. Number of Families or Persons to Occupy Premises .i 5. Plumbing Fixtures: Water Closets _ Urinals Lavatories Bathtubs Showers I Kitchen Sinks Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tank �'_ Material of Septic Tank r =' _ r 7. Soil Conditions: Type of Soil_ 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 test �= Classification of soil 11. Minimum square feet of effective seepage area required r 12. Leaching System: Number of trenches_ Length G L Widt Total f otllc - (Sketch showing all minimum distances and other details required below) a A A Permit Issued 19 By Installation Completed, Inspected and Approved 19 By 1, .:J DEER �7A ELD L A . PE(ZM1-T PLAhN LOT #179, BIRCH HILL ESTATES SECTION #4 TOWN OF SOUTH WINDSOR, CONNECTICUT SCALEs 1" = 40' Apr. z �9GG M L.S. 4395 Rookrille, Conn.