HomeMy WebLinkAbout1969-10-15 - 1765 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. 01 Slam- /
TO THE BUILDING DEPARTMENT: Date /,rr�l3ta2 19 ba
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 9, J L -, smc.4dI.r Icy �{A ddress of Owner
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2. Location of Property �nrwV /2,dA I Lot. No.
3. Type of Structure AIMm1!.2Le to; L, - -g4%?J �L ' a & V1Pie S No. of Bedrooms-
(5wining, Minmercial Building. StAre. etc.)
4. Number of Families or Persons to Occupy Premises �f�w.yfL+ r �I ¢E [3 j B�s.toa.w5 _
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 4 DAB &1.04 Material of Septic Tank- 04VC,207c _
7. Soil Conditions: Type of Soil twz I 1<L1 Maximum ground water table
( Sand, ravel, Clay. etc-)
8. If not served by public water supply: Distance from Owner's well ra from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for V, drop in soil test -C -n IA/•a T L.S' Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Lys Length VO Width J, S T Total 4Mp J'-r.
Other A Awpzsr 7.-
Signatur
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(Sketch showing all minimum distances and other details requir�helow) 3 34� C3
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Permit Issued -I-S� L*� ('Dd 9 L 1969 BSi
Installation Completed, Inspected and Approved ZX 0e-r-0&zn- Y 19&9 By
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