HomeMy WebLinkAbout1965-1-6 - 1062 Ellington Road - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date_. 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Proper T�
p ty Address of ❑caner
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2. Location of Property---—z . V r �' Lot. No. t
3. Type of Structure c 19 "YQ ` � E',%//.>'mI r No. of Bedrooms_
( Dwelling, Commere al Building, Store, etc.
4. Number of Families or Persons to Occupy Premises /i A,/ I y
5. Plumbing Fixtures: Water Closets 2— Urinals_ __.Z�— Lavatories 2— Bathtubs I
Showers Kitchen Sinks--Z— Laundry Tubs- - Garbage Grinder .f _ Other
6. Liquid Capacity of Septic Tanis Z,5 min ,Material of Septic Tank C.-V- C'/�7 C j L
7. Soil Conditions: Type of Soil _Rlaximum ground water table
( Sand, ravel, 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_ 1, .5Q ;
10. Percolation Tests: Time for 1" drop in soil test ,t2r3 -,Classification of
11. Minimum square feet of effective seepage area required /. C
12. Leaching System: Number of trenches--L2— Length! Z Width--2—Total l
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Other_
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(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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