HomeMy WebLinkAbout1968-3-29 - 115 Hilton Drive - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor,Connecticut
Application for Permit to Wkepair Individual Sewage Disposal System
Application No.,
TO THE BUILDING DEPARTMENT:Date (3"AC;-If“19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
Owner of Property QO 5T F [was C-Kt c/Address of Ownerjx/‘7z013"
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Location of Property,/L5’/l/€/J /7‘5 m’g7)f"/L/"@ Lot.No.
Type of Structure X/LJ/é ////7/z¢No.of Bedrooms s §(«,(Dwelling,Commercial Building,Store,etc.)
4.Number of Families or Persons to Occupy Premises /F2;gm l/vf
5.Plumbing Fixtures:Water Closets Urinals 4‘Lavatories /Bathtubs /
Showers 2 Kitchen Sinks i.Laundry Tubs (Garbage Grinder U Other (1"
6.Liquid Capacity of Septic Tank .p W”Material of Septic Tank g .g D r"or?ft“(4P/‘w u”)
7.Soil Conditions:Type or Soil J’s 44)Maximum ground water table *s //
(Sand,Gravel,Clay,etc.)
8.If not served by public water supply:Distance from Owner’s well g¢f&//cl from adjacent wells ’1’)t '
c’l
9.Distance to nearest water course,drainage ditch,storm drain or embankment f¢2f,/
10.Percolation Tests:Time for 1"drop in soil test ‘Classification of soil
/11.Minimum square feet of effective seepage area required :3 71"
i12.Leaching System:Number of trenches f Lengthfwm www Width J o Total /é 5/Cy 3d
Other [3 l‘/f;my»;/
4"
Signature ‘,/Z j‘)l 1 a!“{a g(L censed Installer)
(Sketch showing all minimum distance.and other details required below)
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Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By