HomeMy WebLinkAbout1965-7-8 - 107 Hayes Road - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor,Connec tic ut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT:Date ’7’g 19 52 s”
A permit is requested for repair or construction of an individual sewage disposal system concerning which thefollowinginformationissubmitted:
Owner of Property W;kiddo}#a’W3 e~Address of OwnerJgr‘m ’Jzc‘z g,O:##X
Location of Propertyicf /y”f’f/IS‘fz “0 Lot.No.C N
Type of Structure f a)xiii—Li W (a:No.of Bedrooms 3(Dwelling,Commercial Building,Store,etc.)
4.Number of Families or Persons to Occupy Premises /
5.Plumbing Fixtures:Water Closets Urinals Lavatories /Bathtubs Z
Showers l Kitchen Sinks /Laundry Tubs Garbage Grinder Other
6.Liquid Capacity of Septic Tank §c:”<14 t Material of Septic Tank W ///f/€M
Mj
8.If not served by public water supply:Distance from Owner’s well ¢g If
from adjacent well
9.Distance to nearest water course,drainage ditch,storm drain or embankment
7.Soil Conditions:Type of Soil
(sand,Gravel,Clay,été.)Maximum ground water tabl e
Signature s/C/MW //gl“J
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By
s
10.Percolation Tests:Time for 1"drop in soil test Classification of soil
11.Minimum square feet of eEective seepage area required A3é’
12.Leaching System:Number of trenches .37 Length f “’i i
Other
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1 HEREBY CERTIFY
THIS PLAN TO BE
SUBSTANTIALLY
CORRECT;
KM'7m ”W
ENGINEERING AND LAND SURVEYING.
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74o No.MAIN SIREET.CROSSROADS PLAzA
WEST HARTFORD 7.CONNECTICUT
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