HomeMy WebLinkAbout1964-5-6 - 137 Farnham Road - Septic ApplicationTOWN OF SOUTH WI N DSOR
)0)6 BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. 7
TO THE BUILDING DEPARTMENT: Date 19 61-1
A permit is requested for repair or construction of an individual sewage dispos system concerning which the
following information is submitted: �y
1. Owner of Property C��P�t'� ��-�`� Address of Owner_
2. Location of Property.
3. Type of Structure__
4. Number of Families or Persons to Occupy
_Lot. No.
o. of Bedrooms 1:5r
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks_ ._�.�Laundry Tubs Garbage Grinder Other //
6. Liquid Capacity of Septic Tank /_`� _ Material of Septic Tank. JTi/✓
7. Soil Conditions: Type of Soil 5 Maximums ground water table 1
(Sand, 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
10. Percolation Tests: Time for 1" drop in soil test I - Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length �� Width 2 Total �� c
Other_
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Signature
(x.lce r tau
(Sketch showing all minimum distances and other oils required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 1 l i114 U - _ I9±Y - By