HomeMy WebLinkAbout1965-5-10 - 186 Hillside Drive - Septic ApplicationTOWN OF SOUTH WINDSOR
BU l LDI NG DEPARTMENT
South Windsor,Connec ticut
Application for Permit to Install or Repair Individual Sewage Disposal System
yj yApplicationNo.
To THE BUILDING DEPARTMENT:Date /77/t/m
A permit is requested for repair or construction of an individual sewage disp/sal/system concerning which thefollowinginformationissubmitted:Q’sgxz fdfrzgwry
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Owner of Property H/%//€Fl E)J‘U t/J VI Address of Owne é ’;/f
Location of Property/86 fh //§,I'd?h lf’~Lot.No.A (Emmy,
Type of Structure D l‘r'l (P .l Ii “Q I
No.of Bedrooms >>walling,Commercial Building,Store,etc.)
1.
2.
J ;7/,’(7///O’:ln p
Number of Families or Persons to Occupy Premises O n (a ”pl/i WM l /
Plumbing Fixtures:Water Closets g Urinals Lavatories f/Bathtubs
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Showers Kitchen Sinks ._l___Laundry Tubs Garbage Grinder Other
Liquid Capacity of Septic Tank Material of Septic Tank €011 (t ice ‘t EL;
Soil Conditions:Type of Soil x&{1’y “t’\(1L Maximum ground water tablew i
(Sand,Gravel,Clay,etc.)
If not served by public water supply:Distance from Owner’s well from adjacent wells
Distance to nearest water course,drainage ditch,storm drain or embankment 025%}f
10.Percolation Tests:Time for 1”drop in soil test ¥g&‘$€/(:l ,Classification of soii %
11.Minimum square feet of eEective seepage area required W /
12.Leaching System:Number of trenches £5 Length %Width OWZL/Total 32 f/
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(Sketch showing all mini-mum distan landfothe‘r details required below)
Permit Issued,1 9 By
Installation Completed,Inspected and Approved 19 By
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ENGINEERING AND LAND SURVEYING
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