HomeMy WebLinkAbout1965-5-10 - 173 Hillside Drive - Septic ApplicationTOWN OF SOUTH WI N DSOR
BU l LDING DEPARTMENT
South Windsor,Connec ticut
Application for Permit to Install or Repair Individual Sewage Disposal System y“
Application No.
TO THE BUILDING DEPARTMENT:Date /77z2"/J M 19 é “
A permit is requested for repair or construction of an individual sewage disposa system concerning which the
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4.Number of Families or Persons to Occupy Premises 6"V?“i‘a Vl’ir/(/
7.Soil Conditions:Type of Soil i /i 4/Maximum ground water tabl
(Sand Gravef Clay etc )
8.If not served by public water supply:Distance from Owner’s well x from adjacent wells
9.Distance to nearest water course,drainage ditch,storm drain or embankment w f
10.Percolation Tests:Time for 1”drop in soil test jg?r3 <11 (;Classification of soil
11.Mlnimum square feet of eEectlve seepage area required 3M)/
12.Leaching System:Number of trenches :j Length ‘Z91 I Wldth J I/Total i?gt f /
I
Other ‘/\7
(Sketch showing all minimum distances/an other details required below)
Permit Issued 1 9 By
Installation Completed,Inspected and Approved 19 By
e
following information is submitted:
é’z/yé7r"£}’i1.Owner of Property ”c n T?)v0 v it Address or Owner //C‘WLD‘V gr”Q4/7O4Qw
2.Location of Property )H /(\3I id €\if Lot.No.:1 ré/
Type of Structure ~DU i Q /h‘No.of Bedrooms 'S
[(Dwellmg,Commercial Building.Store.etc )
Plumbing Fixtures:Water Closets é?Urinals Lavatories Bathtubs z
Showers Kltchen Sinks Z Laundry Tubs Garbage Grinder Other
L1qu1d Capac1ty of Septic Tank m f Material of Septic Tank (CW/4t (d lAg'f (1"
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