HomeMy WebLinkAbout1967-12-7 - 146 Hillside Drive - Septic ApplicationTOWN OF SOUTH WINDSOR
BU I LDI NG DEPARTMENT
South Windsor,Connecticut
Application for Permit to install or Repair Individual Sewage Disposal System
Application No.
To THE BUILDING DEPARTMENT:Date fx '2’47 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:‘
Owner of Property Mentse/iAddress of Owner
Location of Property {4‘1 7%;Ai{é«1{<;/igf’xz/Lot.No.yjg ‘
Type of Structure ¢%4E¢Ig “7‘1'V a“x
..No.of Bedrooms
(Dwelling,gommermal Building,Store,etc.)
U
Number of Families or Persons to Occupy Premises idol/gr”
Plumbing Fixtures:Water Closets L2 Urinals Lavatories 2/Bathtubs g
Showers f Kitchen Sinks g Laundry Tubs Garbage Grinder Other
Liquid Capacity of Septic Tan k
Soil Conditions:Type of Soil ‘4M/M Maximum ground water table'(Sand,Gravel,Clay,etc.)
aterial of Septic Tank Iéaw/xy;l K XC‘Zz/aM/oK’v)
)
\,/
If not served by public water supply:Distance from Owner’s
Wfrom
adjacent well
Distance to nearest water course,drainage ditch,storm drain o embankment
f
Percolation Tests:Time for 1"drop in soil test 42M.Classification of soil
Minimum square feet of effective seepage area required
10.
11.
12.
,e-',_y/.
Leaching System:Number of trenches Z Length 2/;'"Width’;'f‘Total v
,,7 A ,
Signature
\%Q/')y[%NL_/W(1WV\V’(Licensed Installer)
Other
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By
/
M
s
&F‘?¢4.
’
3/
”6//4<f/,&z57
P4527”y‘oa/v
f0?
CZ///"§/?é7 V‘v’f fz/ff/t’
/‘//44 J/;0££z‘i"/V£
407'6/3 c?#/J///9M fj/W/“if
Jaux’f/W//V/Jfaz*?CaA/W.
657 /’Z /J5‘/Jc/‘Jzi I”"Vo’
//z/9azvef //12/c £72
[xv/yd .f y/€Vf ,Vwra
g ,e/V'f
”a awry/MG iiaéz/vf/t/vf V/a(/€f£&
CE/rr/f/£Jy/EJ‘f/g/vf/xyzz/c‘cf/2é‘cf
)K‘ewwrz‘W “may z,J1
COA/A/x"?[§v W5,603.9
fz/ecaz/y/7kzv ,o/gzw
\w aevz a cf /Z /.$6 9’"§&4¢/0fx/J5
Q’§”7/?fz 2‘/”/‘//v:‘J‘Auvw"f/24/1Jm/3 5'w91afe‘
J
'\e k Gt Wlo Law/27:wa/vf /a an“)
r9 I/c‘fzx9 if /9(/z ca //s¢I/a/V
M//V//Mt/y /.a
g/I ”J
m”W/ié
,
(
k fgaRcJz‘L’
/£/)/é
L
éL ,?"
y\3“e
l
*/¢4'J¢‘12 /
§
,4 r /&{?'0 /,.,
fr70f,2//