HomeMy WebLinkAbout1966-7-22 - 21 Hilton Drive - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor,Connec ticut
Application for Permit to Im Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT:DateQméQI.D 2.19 ég
A permit is requested for repair or construction of an individual sewag disp£sal system concerning which thefollowinginformationissubmitted:
1.Owner of Property QWQTM‘%&a£mn Address of Owner Q /r ,L 7 m /€l
2.Location of Proper y Q/’MQC9R £>¢ux>Lot.No.
3.Type of Structure £lyg£égw No.of Bedrooms 3
4.Number of Families or Persons to Occupy Premises 4‘,favMJQv—Q/
5.Plumbing Fixtures:Water Closets Urinals (E Lavatories [—Bathtubs ¢r
Showers (”i Kitchen Sinks __,L__Laundry Tubs r“Garbage Grinder x Other LO
(Dwelling,Commercial Building,Store,etc.)
6.Liquid Capacity of Septic Tank s//Material of Septic Tank W4o®
7.Soil Conditions:Type of Soil Maximum ground water table w
(Sand,avel,Clay,etc.)
8.If not served by public water supply:Distance from Owner’s well r from adjacent wells ‘
9.Distance to nearest water course,drainage ditch,storm drain or embankment 7L 7t 3‘»/
10.Percolation Tests:Time for 1"drop in soil test Classification of soil
r11.Minimum square feet of effective seepage area required 37f
12.Leaching System:Number of trenches ‘Length/g$;F3a f Width,Jo Total
Other 6%Km a,I 4 p 2
d \V l/'
Signature Cw
Lic nsed Insta er)
(Sketch showing all minimum distances and other details required below)
2:Eye ’3 >I 7 a .5,KC ‘g§‘ir;¢ig£I I»(Era-g4",,.—
3:?I’v4 6%”4;"Zr 5W
Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By