HomeMy WebLinkAbout1964-6-19 - 14 Grace 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..4
TO THE BUILDING DEPARTMENT: Date (2&,.zt / ,9 19�
A permit is requested for repair or construction of an individual sewage di sal system concerning which/ the
following information is submitted: 1. Owner of Property C G 'F)f A 1-} ( (4- o Address of Owner, 4 'f c� • _ 5 l�f/� d y ?
2. Location of Property )!v ¢ I v_ ' r + ' Lot. No. S
3. Type of Structure I ---' No. of Bedrooms Z
(Dwxming, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs I--
Showers Kitchen Sinks / Laundry Tubs Garbage Grinder X16 Other ...
6. Liquid Capacity of Septic Tank �L - 75-0 Material of Septic Tank i�, ti. G
7. Soil Conditions: Type of Soil liMaximum ground water table
(Sand, Gravel, Clay, etc. )
8. If not served by
public water supply: Distance from Owner's well '`l_S- 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 / 5 Clpkification of soil
11. Minimum square feet of effective seepage area re
12. Leaching System: Number of trenches
Other
Signa
(Sketch showing all minimum distances and other details required below)
Total
Permit Issued 19 By.
Installation Completed, Inspected and Approved 19 By
6
NO. !SPA
PLOT PLAN FOR
CARLO PIESTILEO
SOUTH WINDSOR, CONN.
Scale 1 "-40 + ?fir. 25 ,1 9% 4
Note;
TAXRE IS NO BUILDING BUILT
Therefore there is no vio&ationa of
th- zoning. ordinances.
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GRACE RIB.
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($ SUBSTAiMALLY CORRECT
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