HomeMy WebLinkAbout1964-12-9 - 154 Hillside Drive - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILD'I NG DEPARTMENT
South Windsor,Connec ticut
Application for Permit to Install or Repair lndividual Sewage Disposal System f\
Application No.
TO THE BUILDING DEPARTMENT:Date A2 ¢’’19¢/
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
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6.Liquid Capacity or Septic Tank /wa f i Material of Septic Tank l
7.Soil Conditions:Type of Soil “kiwi/b9?,Maximum ground water table
8.1f not served by public water supply:Distance from Owner’s well /£3 from adjacent well
9.Distance to nearest water course,drainage ditch,storm drain or embankment
10.Percolation Tests:Time for 1"drop in soil test ,Classification of soi
11.Minimum square feet of effective seepage area required
12.Leaching System:Number of trenches Zr Length /Width g m
(Sand,Gravel,Clay,etc.)
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Signature W M[#4\izy 1 annex
(Licenséailnstaller)/
Other \
(Sketch showing all minim-um distances and other details required below)
Permit Issued 19 By
'nstallation Completed,Inspected and Approved 19 By
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Owner of Property ALAddress of Owner
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Location of Property 1’7 34"\VW’"r j (A;r Lot.No.
Type of Structure ,i2&é€?&fr:”’-
ommercial Building,Store,etc.)No.of Bedrooms c?
(Dwellin Building,
Number of Families or Persons to Occupy ‘mises &/c£‘/
Plumbing Fixtures:Water Closets A Urinals Lavatories ’1“Bathtubs /
Showers Kitchen Sinks Z Laundry Tubs Garbage Grinder Other?
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