HomeMy WebLinkAbout1965-7-5 - 1678 Ellington Road - 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: Date
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: L4 — a 7/7 � . 7 fi
1. Owner of Property ,. x Address of Owner
2. Location of Property Lot. No. _
3. Type of Structure (Dwelling, Cammereial Building, Store, etc.) No. of Bedrooms.
4. Number of Families or Persons to Occupy Premises
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5. Plumbing Fixtures: GWater Closets. 4 Urinals—* Lavatories }.- Bathtubs
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Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
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6. Liquid Capacity of Septic Tank ■ _ ;�' Material of Septic 'Tank <-,,Q) e r
7.
8.
9.
10.
Soil Conditions: Type of Soil Maximum ground water table ----
(Sand, Gravel, Clay, etc.)
If not served by public water supply: Distance from Owner's well Z 6 0 from adjacent wells
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Distance to nearest water course, drainage ditch, storm drain or embankment X o
Percolation Tests: Time for 1" drop in soil test (e Classification of soil,
11. Minimum square feet of effective seepage area
12
Leaching System: Number of trenches Length
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(Sketch showing all minimum distances and
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details required
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Total
Permit Issued —
.i.9 By_
Installation Completed, Inspected and Approved - . _ .. 19 By
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