HomeMy WebLinkAbout1965-10-5 - 24 Highland Drive - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
Soufh Windsor,Connecticut hf?"
Application for Permit to Install or Repair Individual Sewage Disposal System
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Application N9.i ”(Li ‘
TO THE BUILDING DEPARTMENT:Date It”)K"
A permit is requested for repair or construction of an individual sewage disposal system concerning which thefollowinginformationissubmitted:{lidiesmt wge‘éenar-
1.Owner of Property Address of OwneraH;ix)».H ’L2.Location of Property ot.No.$”2—
3.Type of Structure;LL»ti i i on g.2 3 No.of Bedrooms .3'1 (Dwelling,Commercial Building,Store,etc.)
4.Number of Families or Persons to Occupy Premises 424 iv“;Q m .9;
Installation Completed,Inspected and Approved 6Q,per”-735K:19 ”cf By
5.Plumbing Fixtures:Water Closets a Urinals Lavatories 'Bathtubs
Showers g Kitchen Sinks Z Laundry Tubs Garbage Grinder A!Q Other
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6.Liquid Capacity of Septic Tank z ‘Q Q63 g5 .9)Material of Septic Tank C‘¢V1 aw:€°‘i'r;‘v"¢n7.Soil Conditions:Type of Soil U‘nu Maximum ground water table
(Sand,Gravel,Clay,etc.),”"w1 l i
8.If not served by public water supply:Distance from Owner’s well from adjacent wells
9.Distance to nearest water course,drainage ditch,storm drain or embankment §C§I
10.Percolation Tests:Time for 1"drop in soil test gi it ‘r Classification of soil
11.Minimum square feet of effective seepage area required Eran?’9}wage ’E 13$:m
12.Leaching System:Number of trenches Length Width Total
Other r
Signature flirt}C a ,.(Licensed Installer)
(Sketch showing all mini-mum distances and other details required below)
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Permit Issued 19 By