HomeMy WebLinkAbout1965-5-10 - 178 Hillside Drive - Septic ApplicationTOWN OF SOUTH WINDSOR
BU l LD‘ING DEPARTMENT
South Windsor,Connecticu t
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT:Date d4 K?U /O 19 é f
A permit is requested for repair or construction of an individual sewage disposal s stem concerning which thefollowinginformationissubmitted:
1.
2.
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Owner of Property /q i C i’l (P)l‘U Dc}r}Address of Ownerlai //£§.r*l‘\§/ILL///'zil;é,ll 0/EV [W ,I'1/,dj’ZI’i'f’
Location of Propertyff'é‘dr/l i i Q I'Ci»é},Lot.Nor /"’/.Q57)Vl.
(.x'Type of Structur No.of Bedrooms 3
Number of Families or Persons to Occupy Premises (3/4 6‘“WCICL'm i l /“/
(Dwelling,Commercial Building,Store.etc.)
Plumbing Fixtures:Water Closets Urinals Lavatories /Bathtubs g
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
Liquid Capacity of Septic Tank J???)(z);
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Material of Septic Tank CI)m C;‘rQvii (J
Soil Conditions:Type of Soil \Q m c’s Maximum ground water table ‘N(>4??E §7PZA0 /
If not served by public water supply:Distance from Owner’s well “from adjacent well
Distance to nearest water course,drainage ditch,storm drain or embankment ?&§/
10.Percolation Tests:Time for 1”drop in soil tes t
11.Minimum square feet of eEective seepage area required FRI‘lX)/r
12.
Other
(Sand,Gravel,Clay,etc.)
lassification of soil 4
Leaching System:Number of trenches ‘3 Length ‘@ /Width o/Qi/Total i/JK/
.1/
(Sketch showing all mini-mum distanc’e/s/a/n“d other details required below)
Permit Issued 1 9 By
Installation Completed,Inspected and Approved 19 By
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WHELLER
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I HEREBY CERTIFY
THIS PLAN TO BE
SUBSTANTIALLY
CORRECT;
ALLEN BRGWN
SOUTH Wiwason,CoNN.
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D LAND SURVEYINGENGINEERINGAN
CROSSROADS PLAZA
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WEST HARTFORD 7.CONNE
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