HomeMy WebLinkAbout1966-5-5 - 129 Farmstead Drive - Septic ApplicationTOWN OF SOUTH WI N DSOR.J
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date-M a� _19
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 1101, 4-1 a, . � a Address of Owner-4aq
2. Location of Property h a Lot. No./
p 1 �
3. Type of Structure _No. of Bedrooms
r (Dwelling. Commercial Building, ^a re, etc.)
4. Number of Families or Persons to Occupy Premises—
5. Plumbing Fixtures: Water Closets 1 Urinals - Lavatories / Bathtubs
Showers Kitchen Sinks / Laundry Tubs Garbage Grinder - Other-,s,3a ,i� mr
6. Liquid Capacity of Septic Tank) G G a �all1 Material of Septic Tank s.
7. Soil Conditions: Type of Soil +•• d Maximum ground water table
( and, Gravel, 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 / D b -F'4•
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
/ a
12. Leaching System: Number of trenches 414
14 Length _ Width_ Total
Other
S
(Sketch showing all minimum distances and other details required below)
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r < v Z, y
V iC Y Y Y
Permit Issued 19 By
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Installation Completed, Inspected and Approved el H I",IA �I _ 19 � � By