HomeMy WebLinkAbout1967-12-18 - 109 Hilton Drive - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor,Connec tic ut
Application for Permit to him Repair Individual Sewage Disposal System
Application No.
To THE BUILDING DEPARTMENT:Date b2 —/f ’19 é?
A permit is requested for repair or construction of an individual sewage disposal system concerning which thefollowinginformationissubmitted:
Owner of Property PQ zip r ”'é ff!//Address of Owner /(3 C?296 /78 n gr’I
Showers /Kitchen Sinks /Laundry Tubs /Garbage Grinder (i Other f
r'?Liquid Capacity of Septic Tank 75c i Material of Septic Tank C'L"/1/’('re.ffISoilConditiog:Type of Soil $4 ’t 0 Maximum ground water table w g7
‘
(Sand,Gravel,Clay,etc.)
If not served by public water supply:Distance from Owner’s well ’1)¢r’é //"C from adjacent wells eJ//C
Distance to nearest water course,drainage ditch,storm drain or embankment ?"/C‘Ci
10.Percolation Tests:Time for 1"drop in soil test :3 ”7 x /v’Classification of soil I
11.Minimum square feet of effective seepage area required 3 7—5 /
12.Leaching System:Number of trenches Q3 Length ”57‘;3a "Widt
Other CH ‘/C7/_’:g’;r__5(//<“1<£C//1 Ila/x”g6 i/
v/-(u
Signature w/Qni [f //a¢vu'“elk /
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Total
w £We:sews?évw‘i,
Permit Issued 1 9 By
1stallation Completed,Inspected and Approved /g $év‘r’N3-Maw’tr 19 6?By
h
Location of Property x 5‘7?/H C?Lot.No.
Type of Structure />u ;r=//I if!”;No.of Bedrooms f)’’U (Dwelling,Commercial Building,Store,etc.)Bedrooms
Number of Families or Persons to Occupy Premises /7a,‘/{/
Plumbing Fixtures:Water Closets '5’)Urinals (i Lavatories 3‘“Bathtubs
w»?
X‘.
’L