HomeMy WebLinkAbout1969-8-21 - 137 Farmstead Drive - Septic ApplicationTOWN OF SOUTH W I N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or ReRai Individual Sewage Disposal System
Application No. Q8 24�
TO THE BUILDING DEPARTMENT: Date_ ru.s7 19.69
A permit is requested for :& s or construction of an individual sewage disposal system concerning which the
following information is submitted: rC
1. Owner of Property F2ntE S T r tLD Address of Owner_13 7 r!'iA P2� % �A ky �.
2. Location of Property - SrsM 1. - Lot. No.
3. Type of Structure —I L-461 J No. of Bedrooms
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises_ 6,4 +4a.1
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinlra Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Zictsr04< Material of Septic Tank On T _
7. Soil Conditions: Type of Soill�?�4�1 b �i A 1,1 Maximum ground water table
( an Gravel, Cl , 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_ __
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width.. - Total
OtherAbbyrioA oic TAY wr.#-L- ho"y 14P _ I PkiT ugf1p)
Signature r /C ""
P {Ll heed In tal �
(Sketch showing all minimum distances and othertleta)[ ssArequ;r`edr below) t,�,q_ 3 S'+/.3�D
&� Q
Permit Issued .ZL Auaw57' 1910 19
Installation Completed, Inspected and Approved -Al u c , I- 19�9
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