HomeMy WebLinkAbout1967-5-29 - 16 Gulley Drive - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor,Co nnecticut
Application for Permit to Install or Repair Individual Sewage Disposal Sysiem/ig
~_,Application No.x A r‘
To THE BUILDING DEPARTMENT-Date WI¢Y ‘9’?19 é 7
A permlt is requested for repalr or constructlon of an 1nd1v1dual sewage d1sposal system concernmg whlch thefollowmgInformatlon15submlttedRhines\LkLIaLL .4
1.Owner of Property
2.
Type of Structure ‘é No.of Bedrooms(Dwélling,Commercial Building,Store,etc.)
Number of Families or Persons to Occup Premises §A/F I %%/L 6/
Plumbmg Flxtures Water Closets Urmals Lavatones
Address of Owner lé guL’LE‘?’0?‘
Locatlon of Property YLMK Lot.No.il$’
Showers Kltchen Smks La“ndry Tub
'Dé‘
rbage B rmder
Liquid Capacity of Septic Tank L Materral of Septlc Tank pyM At 7 6’
Sou Conditions:Type of Soil ''C Maximum ground water table r
._:‘rr
T ‘TCL9 LM/L *FIELJ
Permit Issued 19 By
G.7)/k :Lof 19 ByInstallationCompleted,Inspected and Approved
8.
(Sand,ravel,Clay,etc.)fathom;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 A Classrfication of sorl
11.Mmlmum square feet of effective seepage area requlred '//0L)‘
12.Leaching System Number of trenches Length 35/33/3f‘Width ?~,}a Total y g Ll”%
Other gLoc {’c errWaaz.rma/Mi ff dLaK‘aco’Ma at ‘w,./..
Slgnature .A r ,/
Sketch showmg all minimum distances and other details required below)