HomeMy WebLinkAbout1969-10-1 - 16 Fairview Drive - Septic ApplicationTOWN OF SOUTH W I N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. /&'Ji1.9 - 41
TO THE BUILDING DEPARTMENT: Date 01 L%To/b 4.Z. 1946-Y
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 LJt/t Cry r A &' a! 10d Address of Owner
2. Location of Property, Lot. Na._ .�
3. Type of Structure_ w<<L mM G No. of Bedrooms Al
( Dwelling, Commercial Building, Stor ete. ).
4. Number of Families or Persons to Occupy Premises_ a+y +- U 7Arn�t y _
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank /. 21-40 "A-& ad Material of Septic Tank 02 0,^1 CA L r I_
7. Soil Conditions: Type of Soil 0-44 ► __ _Maximum ground water table
(Sand. vel. 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
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10. Percolation Tests: Time for 1" drop in soil test % %«1 �P- 3 Classification of soil
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11. Minimum square feet of effective seepage area required fr!� a
12. Leaching System: Number of trenches 8 Length CtAcL.% Width.. �• Total LI & 2, A A
Other r r•Z Hi+ t.►/ R r3 �.rr ��r ,aw►� !
Signatur
(L�iceneenui
(Sketch showing all minimum distances and otherdetarls1 iow)
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Permit Issued b1 & MAC-t— 19469 By
F N1
Installation Completed, Inspected and Approved 419 60r,,Aft 19469 B -04-
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