HomeMy WebLinkAbout1964-12-1 - 191 Hillside Drive - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor,Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.éw /;/./.7\)z?f /19/Z "TO THE BUILDING DEPARTMENT'
A permlt 1s requested for repalr or constructlon of an 1nd1v1dua1 sewage dlsposal system concernmg whlch thefollowmgmformatlonlssubmltted
1.Owner of Property AgQF //£‘3‘m/6 ’é [’7‘’
2.Location of Property M‘H/%’/
3.Type of Structure 7;)tau?////f(z
4.Number of Families or Persons to Occupy Premises {9/14 ff
5.Plumbing Fixtures:Water Closets l/
Showers Kitchen Sinks z Laundry Tubs
K"4
7.S011 Condltlons Type of Sell gwr’lff ‘l—Qi’4’Mi /Max1mum ground water table /“’54''/.fVSandGravelClayetc)
8.If not served by public water supply:Distance from Owner’s well
9.Distance to nearest water course,drainage ditch storm drain or embankment
<(2
11.Minimum square feet of eEective seepage area required
12.Leaching System:Number of trenches
Other
/~/¢"2i /(:/fr
Date
/(Dwelhng,Commercxal Bulldmg,Store.etc )
6.Liquid Capacity of Septic Tank Hf!
Urinals Lavatories EL Bathtubs /
Garbage Grinder
(ii/Vt w”V/y/gv
%)/r Lot.No.gig
No.of Bedrooms 5 .«12,
fa
iél?
i/i’?’I'd 4/
Other
10.Percolation Tests Tlme for l”drop 1n s01l test S)(w‘
L?
Length /i i.‘3?Width ‘z TotalZr{/§}
"O‘yX)
K
‘3 4’:«J x y a (Mfr/1]
W I/
Clas51ficat10n of 3011
.‘
(d
from adJ acent wells
Signature
(Sketch showing all minimum distances and'o'ither details required below)
Permit Issued 1 9
Installation Completed,Inspected and Approved
By
19 By
Material of Septic Tank
Address of Owner 5?i M//Q/e/r/f/
///’/Q/
z//2 /2M (it!Kai/z:-/?/
(Licensed Installer)
Naw 5.:
a;LQT ‘L‘HEL g v.3“:
5L,“Um g5 .hN 7"?»«(1
.$RnugurV cryv:
C:':>4DI$$P1 LVOHN.‘V‘I:t"W 1 n W ~_-
n,abL %w4cfxaxh
:‘i‘?‘vw’IHW’N LL?v
R‘Eyyf'WN L34 I-k L.E.‘HL_§LVL
~¢‘~‘x
L~.J.
§:u»a LYA'TQ:£\:Cmu‘ni ‘\CI~'2\‘QA’
NO Z.Cfm “QC-g /\:\,LAT\QN5
CERTIFilb IUI‘YANTIALLY CORIICT:
Ea s9 a gyw
MEGSON &HYYPPA
CIVIL ENGINEERS
GLASYONBURY.CONN.
LA ?
f4
w
m‘
"
m/H