HomeMy WebLinkAbout1964-12-1 - 200 Hillside Drive - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor,Connec tic ut
Appllcahon for Permit to lnstoll or Repair IndIVIdual Sewage Disposal System
Application No.(o &
TO THE BUILDING DEPARTMENT:Date ./?Ef;’./19 0
i
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
followmg informatlon 1s submitted
1.Owner of Property /‘7é k wir ‘r f/(Address of Owner z //W />/’/4/(i)
2.Location of Property ‘Q’k f¢f «‘rr/r‘)’4////J/w//sf‘yl‘Lot.No.f€i
3.Type of Structure J)[.xJt’//H (ii No.of Bedrooms §
’7‘
§
4.Number of Families or Persons to Occupy Premises Oli/é’#[tfff/7 //
Vwellmg Commercxal Burldmg,Store,etc )
5.Plumbing Fixtures:Water Closets
a,
Urinals Lavatorles C»?Bathtubs
Showers Kitchen Sinks 4’Laundry Tubs Garbage Grinder /Other
6.Liquid Capacity of Septic Tank
a I
n (<3 i Material of Septic Tank,
7.Soil Conditions:Type of Soil I D
‘£?/4¢/
Maximum ground water table f e v4 a /
(Sand,Gravel,Clay,etc.)
8.If not served by public water supply:Distance from Owner’s well from adjacent well s
9.Distance to nearest water course,drainage ditch,storm drain or embankment Cc $¢ift>¢‘34“r ’
10.Percolation Tests:Time for 1”drop in soil test 3 C w Classincation of soil ‘'i 7/2f fr
11.Minimum square feet of eEective seepage area required sow}(3“?)
12.Leaching System:Number of trenches r
'
Length
H
/1w Width
Other
Signature =(4 ///7w//,.,
(Licensed Installer)s
(Sketch showing all minim-um distances and other details required below)
Permit Issued 1 9 By
Installation Completed,Inspected and Approved 19 By
MEGSON &HYYPPA
CIVIL ENGINEERS
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