HomeMy WebLinkAbout1969-6-13 - 148 Farnham Road - Septic ApplicationTOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date — l 19_16�
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: ,r,
1. Owner of Property_ % �iC ?La,�l1 aC�figje42 Address of Owner /A �i9ieWA"71
2. Location of Property _sn' Lot. No.__ _
3. Type of Structure Rvi ELL I AY-Cl No. of Bedrooms 7 _
( Dwelling, Commercial Building,, Store, etc.)
4. Number of Families or Persons to Occupy Premises— r�lrt,, <e
5. Plumbing Fixtures: Water Closets '. ( Urinals Lavatories_ Bathtubs_
Showers_ Kitchen SinksLaundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank (70A oze
7. Soil Conditions: Type of Soil. �L� � fl _ Maximum ground water table r
(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 e� Classifiication of soil
11. Minimum square feet of effective seepage area required [ 7 y
12. Leaching System: Number of trenches Length B 7 ea ji Width a Total yO�o 9
Other ! �`� �g t �a / t- .,�,a F►� b a� — _04-�
Signature_ � _tz_ er)
4
(Sket4 I showing all minimum istances and other details required below)
18F/vf �r Cs'i Tn�9�5
'0 rEo«SE fievi►7 ��6,
�►418, �13' 1
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1ORNHAi ROA iD
Permit
9 By
Installation Completed, Inspected and Approved 19 By