HomeMy WebLinkAbout1964-9-21 - 19 Foster Street - Septic ApplicationVa FEF TOWN OF SOUTH WINDSOR
#Llr OMLY BUILDING DEPARTMENT
South Windsor,Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No
TO THE BUILDING DEPARTMENT Date fgpr ;‘/19 [¢
A permlt ls requested for repan‘or constructlon of an 1nd1v1dua1 sewage dlsposal system concernmg wh1 the
following mformation 1s submitted 37;“Fw a»rim
Owner of Property #L ml fg R Address of Owner‘fMeLL LA \Lc/MP//L’€
Location of Property I?Fay $7?R 5'7?Lot.No.
Type of Structure ’(IV E‘Ll/l LI g No.of Bedrooms
g E
4.Number of Families or Persons to Occupy Premises Q Ac/g
(Dwelling,Commercial Building,Store,etc.)
5.Plumbmg Flxtures Water Closets I Urinals Lavatories /Bathtubs /
Showers Z Kltchen Slnks l Laundry Tubs “"T’Garbage Grinder ~V Other
6 L Material of Septic Tank C £7 UC S g 71?“—i/‘6.Liquid Capacity of Septic Tank
'7.Soil Conditions:Type of Soil ’~~~-~~“‘Maximum ground water table
(Sand,Gravel,Clay,etc.)
8.If not served by public water supply:Distance from Owner’s well from adjacent well
9.Distance to nearest water course,drainage ditch,storm drain or embankment
(Sketch showing all minimum distances and other details
Fa 5‘7‘E K
Permit Issued 1 9 By
Installation Completed,Inspected and Approved 19 By
s
l0.Percolation Tests:Time for 1”drop in soil test Classification of soil
11.Minimum square feet of eEective seepage area required
12.Leaching System:Number of trenches Length Width Total
Other 4a Ax 7"‘t ,../
K”Kepe/K f Slgnature
L u L.r