HomeMy WebLinkAbout1964-2-4 - 18 Dower Road - Septic ApplicationTOWN OF SOUTH Wl N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date 9
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 Mrs . Edna Jacobs Address of Owner lg Dower Rd.
2. Location of Property lg Dovrer Rd. Lot. No. ~r-
3. Type of Structure Dwelling; No. of Bedrooms__
(welling, Commercial uilding, Stare, .)
1%
4. Number of Families or Persons to Occupy Premises
01
5. Plumbing Fixtures: Water Closets 1 Urinals .. Lavathries 1 Bathtubs 1
Showers Kitchen Sinks 1 Laundry Tubs Garbage Grinder -- Other
6. Liquid Capacity of Septic 'Tank 750 Gal • Material of Septic Tank Concrete
7. Soil Conditions: Type of Soil Sand Maximum ground water table 6 Ft •
Public
( 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 None in local area
10. Percolation Tests: Time for 1" drop in soil test W ,Classification of soil y r
11. Minimum square feet of effective seepage area required Repair job/addition
12. Leaching System: Number of trenches 1 Length 50 f t • Width 30 n Total 50 t li ne al
Other 8 ft. drywell with 4 ft. concrete block ec�r
Signature
[ as na er)
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 ,'By
Installation Completed, Inspected and Approved e c/ i, ail tlA"l �I _ 19 .By
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