HomeMy WebLinkAbout1968-4 - 115 Greenfield Drive - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor,C onnecticut
Application for Permit to lnstoll or Repair Individual Sewage Disposal System
0LzAcA)i Jmss J.+\Lm Fri-1E.(9N&$)Application No.
TO THE BUILDING DEPARTMENT:Date 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which thefollowinginformationissubmitted:
1.Owner of Property it ..r132.Trit-..-3 ’xigii'?’Lii‘é’grAddress of Owner (’2 45/fi/2 ;w .
2.Location of Propert raw ,w ,//i,
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«a -riwry Lot.No.é 52
3.Type of Structure 4 51g,w »gage»;No.of Bedrooms k :‘g
Dwelling,Commercial
6.Liquid Capacit y of Septic Tank xii ‘U it”?’1;Material of Septic ’Ia n k..v/rfiiir’i’”?i 4"
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Maximum ground water tabl(Sand,Gravel,Clay,etc.)
7.Soil Conditions:Type of Soil
8.If not served by public water supply:Distance from Owner’s well from adjacent well
9.Distance to nearest water course,drainage ditch,storm drain or embankment
10.Percolation Tests:Time for 1”drop Hin soil test Classification of soil
11.Minimum square feet of effective seepage area required
12.Leaching System:Number of trenches 3 Length/37 e7 Width 2,«g Fr Total34£§$g2+
Other
ignature /¢r‘7‘—j fé Wtén(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 ByH”?
Installation Completed,Inspected and Approved 19 By
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Number of Families or Persons to Occupy Premises {Q mz kwwmwa"
5.I;Plumbing Fixtures:Water Closets r sis”...Urinals (:4‘Lavatories if?Bathtubs /
IShowers5’Kitchen Sinks v’Laundry Tubs Garbage Grinder Other
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