HomeMy WebLinkAbout1964-12-1 - 197 Hillside Drive - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDI NG DEPARTMENT
South Windsor,Connecticut
Appiication for Permit to Install or Repair Individual Sewage Disposal Sxstenl
Application No.m
To THE BUILDING DEPARTMENT:Date Z/éf’i 19 5 JC//
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1.Owner of Property g7L/‘f @i’ié>{Wm Address of Owner if»;Z 7V /g/V/éd‘t"
2.Location of Property /l//9 r/‘f’£e $1 Ig/:r’(9.7 ‘77i7/M-SifC/«o2/_-JDf’l Lot.No K :l/
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3.Type of Structure J [/No.of Bedrooms §’<
(Dwe ing,Commercial Building,§tore,etc.)
4.Number of Families or Persons to Occupy Premises 53 #1 E).
5.Plumbing Fixtures:Water Closets T /Urinals Lavatories 5Le Bathtubs If
Showers Kitchen Sinks Z Laundrgubs Garbage Grinder Other
6.Liquid Capacity of Septic Tan K“M A aterial of Septic Tank Cm/i f V67 6
K”aximum ground water table ..r f?
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7.Soil Conditions:Type of Soil -31
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(Sand,Gravel Clay,etc.)
8.If not served by public water supply:Distance from Owner’s well from adjacent wells
I,)4?Syérm 5%i’t-Uéir’i9.Distance to nearest water course,drainage ditch,storm drain or embankment %®
10.Percolation Tests:Time for 1”drop in soil test ?6e C ‘Classification of soil
11.Minimum square feet of effective seepage area required germ
12.Leaching System:Number of trenches 2:?g 'Length'H’jr'Width (524 ~'Total
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Other
Signature riLz/Zr-r7/Zi/7i
,--A “(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19
Installation Completed,Inspected and Approved.'19 By
M
MEGSON 8-HYYPPA
CIVIL ENGINEERS
GLASTONBURY,CONN.
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