HomeMy WebLinkAbout1967-10-31 - 1736 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 19_ G 7
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: j , `r
1. Owner of Property U(Id / 4 �� S Address of Owner 4-1
2. Location of Property_ '� -S , /LIYO1r� �►�" _ Lot. No.
3. Type of Structure Cc M 2h e r C / a' No. of Bedrooms
(Dwelling, Commercial Building, Store. etc.)
4. Number of Families or Persons to Occupy Premises V!" I d o/,- _
5. Plumbing Fixtures: Water Closets L Urinals d Lavatories Z Bathtubs O
Showers_ Kitchen Sinks d Laundry Tubs 0 Garbage Grinder C Other a /
6. Liquid Capacity of Septic Tank ,L/ O 6 Material of Septic Tank C ci, �r�]�P �% r. 4.0 rrlfl
7. Soil Conditions: Type of Soil 0 ^ a Ile-1 Maximum ground water table �^
( Sand, Gravel, Clay, etc.)
8. If not served by public water supply: Distance from Owner's well -/ %S-- from adjacent wells 7� /S C'
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test 3 41 /)e-r. Classification of soil
11. Minimum square feet of effective seepage area required ,S
12. Leaching System: Number of trenches Length 5/S` Width ��� Tota1��3�5 aZ
Other
Signatur W
(LicensedInstaller)
(Sketch showing all minimum distances and other details required below)
r ,1 "NED
Permit Issued-
9 By,
Installation Completed, Inspected and Approved t�1 0 c'r641,F 1967 By,
� i 1
4;;2
�) j-,c: < ---