HomeMy WebLinkAbout1969-6-25 - 2228 Ellington Road - Septic ApplicationTOWN OF SOUTH W I N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to LaVoM r Repair Individual Sewage Disposal System
Application N
TO THE BUILDING DEPARTMENT: Date 19
A permit is requested for repair or construction of an individual sewage dis sal system concerning which the
following information is submitted:
1. Owner of Property .%.-+ W Or V. _ 1 Address of ❑timer_ JS 1 _W, Af �
2. Location of Property.ZZ'26 14 1nrnTd►Y a Lot. No.
3. Type of Structure_ w ur No. of Bedrooms_
(T)vWlng, Commercial Building, Store, etc.)
r
4. Number of Families or Persons to Occupy Premises J 6ej mj_
5. Plumbing Fixtures: Water Closets. Urinals___ L atories._��. Bathtubs E
Showers_ Kitchen Sinks_ Laundry Tubs_ Garbage Grinder_ Other_C--
6. Liquid Capacity of Septic Tank Material of Septic Tank_
7. Soil Conditions: Type of Soil err_ Maximum ground water Lil)le._
(Safi , Gralvel, Clay, etc.)
8. If not served by public water supply: Distance from Owner's wellIL from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment f / SsL7
10. Percolation Tests: Time for 1" drop in soil lest. 3 /i+'I 1 )I ..._ Classification of soil
11. Minimum square feet of effective seepage area required 3 Z S
12. Leaching System. Number of trenches 3 Length r6 � Width 3 G Total
Other _
t
Signature., OR'n e
(IdCenigedIns r)
(Sketch showing all minimum distances and other details required below)
do= = so+ r
(00 � do 4M 49 4M 4M M w
Permit Issued 19 By
Installation Completed, Inspected and Approved