HomeMy WebLinkAbout1965-8-25 - 162 Hillside Drive - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor,Connec tic ut
Application for Permit to lnstall or Repair Individual Sewage Disposal System
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Application No.,,
TO THE BUILDING DEPARTMENT:Date '3’L :g,19 (/9 f
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1.Owner of Property fa i (V iu ii);r 5-»:i 1.;Address {z Z,e l’v/J/V'I/’[Vim
5.Plumbing Fixtures:Water Closets ‘"Urinals ‘"‘Lavatories T'.r Bathtubs
Showers Kitchen Sinks+__Laundry Tubs "”“Garbage Grinder u Other
6.Liquid Capacity of Septic Tan aterial of Septic Tank (“iv ti i;f (/’(
i p w7.Soil Conditions:Type of Soil “id/*2 mi Maximum ground water tabl
(Sand,Gravel,Clay,etc.)
“H8.If not served by public water supply:Distance from Owner’s well from adjacent wells
{‘"19.Distance to nearest water course,drainage ditch,storm drain or embankment /\v ‘
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Signature (/"’.47:7//’Z €24 K /\\J73¢$¢é
(Licensed Installer)
(Sketch showingi’all minimum distances,and other details required below)
Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By
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2.Location of Property K\”‘:.3/'It.',‘.r/;,\
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3.Type of Structure
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k,I“’'V No.of Bedrooms C;(Dwelli’xg,Commercial Building,Store,etc.)
4.Number of Families or Persons to Occupy Premises (0 Iv W /;fil ll 1’/f {)ll
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10.Percolation Tests:Time for 1”drop in soil test r"r)‘(‘1 'Classification of soil f/
11.Minimum square feet of eEective seepage area required :‘i /\5‘"
12.Leaching System:Number of trenches Jr Length 5/:1‘,1 ,.Width J i!’1 Total
Other
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