HomeMy WebLinkAbout1965-5-10 - 170 Hillside Drive - Septic ApplicationTOWN OF SOUTH WINDSOR
BU I LDI NG DEPARTMENT
South Windsor,Connecticu t
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
To THE BUILDING DEPARTMENT:Date o0?fh/i 0 19 é ‘*
/A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
Owner of Property A i ‘(Vt ‘3 "OW h Address of OwnehéX/[Ii-57!We W D I}‘&“7/!Iz/gyiw 2n‘w—H ,7 4
6.Liquid Capacity of Septic Tan aterial of Septic Tank Caz/7'4 (g,a (I f (J
32H (I
k M (/,M
Maximum ground water table /7/¢7/7r 4 f H)f
(Sand,Gravel,Clay,etc.)7.Soil Conditions:Type of Soil
f8.If not served by public water supply:Distance from Owner’s well from adjacent well
r"La /9.Distance to nearest water course,drainage ditch,storm drain or embankment
10.Percolation Tests:Time for 1"drop in soil test ?g)5 r}(‘Classification of soil
ll.Minimum square feet of effective seepage area required 3&1)/
12.Leaching System:Number of trenches Length (742 i Width a i ~’
Total 3 /.J r’j
Other I \
,/
t"(e )a Installer
(Sketch showing all mini-mum distances gfnd'other details required below)
/.
Permit Issued 1 9 By
Installation Completed,Inspected and Approved 19 By
s
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2.Location of PropertyiZ)#1 ”C 1 (d 63 J>'r,Lot.No.4%;
Type of Structure .wlY/(z/I;H5,No.of Bedrooms 3
/(Dwelling,Commercial Building,Store,etc.)
4.Number of Families or Persons to Occupy Premises or f4:m w/
5.Plumbing Fixtures:Water Closets IT Urinals Lavatories K)Bathtubs /0r
Showers Kitchen Sinks l [Laundry Tubs Garbage Grinder ./Other
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