HomeMy WebLinkAbout1965-1-12 - 194 Hillside Drive - Septic ApplicationTOWN OF SOUTH WI NDSOR
BU I LDI NG DEPARTMENT
South Windsor,C onnecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.zM’é
TO THE BUILDING DEPARTMENT:Date;A?i7 ,/;»;194 g"
A permit is.requested for repair or construction of an individual sewage disposal system concerning which thefollowinginformationissubmitted:
5.Plumbing Fixtures:Water Closets Urinals ’‘Lavatories —‘id;—r Bathtubs
Showers u Kitchen Sinks /Laundry Tubs "“Garbage Grinder "’”Other
6.Liquid Capacity of Septic Tank f??”1’(”ff Material of Septic Tank 47}i (3 We fl
7.Soil Conditions:Type of Soil \ienc/(j
Maximum ground water table /V f4 G (4E ('0 /.
8.If not served by public water supply:Distance from Owner’s well from adjacent wells
9.Distance to nearest water course,drainage ditch,storm drain or embankment c~f74r w;5 eiu'‘7”7/171’!/[VOI‘7’/x~
10.Percolation Tests:Time for 1"drop in soil test “age:”’A‘)('Classification of soil
11.Minimum square feet of eEective seepage area required <¥Oi “72)n///’
12.Leaching System:Number of trenches \j’w Length /.L »/
Width Qt I,f Total 5/5 K
Other —Z axis,.3r '4‘7?‘2 x a
(Sand,Gravel,Clay,etc.)
Signature "y
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(Sketch showing all minimum distances and other details required below)
(Licensed Installer)
'n.tidali
Permit Issued 1 9 By
Installation Completed,Inspected and Approved,By
1.Owner of Property f7//*7i'i /j/’d,‘a 5 ‘1 Address of Owner 6 .i\SZQ.:.%/S1/Q/w (b//i/01/7/i~I//éb/
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2.Location of Property {..7/9¢/A‘//J,I/p
3.Type of Structure Dav]r ///2w
Lot.No.
No.of Bedrooms 5/(Dwelling,Commercial Building,Store,etc.)
4.Number of Families or Persons to Occupy Premises (9/7/2 “p4;//717/Z/
//
1 -mm
I HEREBY CERTIFY
THIS
SUBSTANTIALLY
CORRECT;
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PLAN To BE ENGINEERING AND..LAND SURVEYING
740 NO.MAIN STREET‘CROSSROADS PLAZA
WEST HARTFORD 7.CONNECTICUT
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