HomeMy WebLinkAbout1969 - 1440 John Fitch Boulevard - Septic ApplicationKickTOWNOFSOUTHWINDSOR
BUILDING DEPARTMENT
South Windsor,Connec tic ut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT:#74/‘/¢/5}Date »”7//:4 5 19 é”9"
A permit is requested for repair or construction of an individual sewage mag/Sal system concerning which the
following information is submitted -.7 fAddressofOwnerfav.1)..
Lot.No.
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Type of Structure No.of Bedroom s(i’I/VV’?mW/ozs/@y/Lvw’
Owner of Property “’x”///V fwbKL/tr’k.J
Location of Property2.
'3
Water Closets Urinals
Kitchen Sinks
M
Type of Soil
(Dwelling,Commercral Building,Store etc )
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4.Number of Families or Persons to Occupy Premises
52
Showers
4 /
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(Sand,Gravel,Clay,etc.)
8.If not served by public water supply‘Distance from Owner’s well
9.Distance to nearest water course drainage dltch storm dram or embankment
10.
11.Minimum square feet of eEective seepage area required
12.g:
Other
Liquid Capacity of Septic Tan k
Soil Conditions:
Laundry
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Plumbing Fixtures:Lavatories Bathtub s
Other
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from adj acent well s
Garbage Grinder
aterial of Septic Tank
Maximum ground water table
Percolation Tests Time for 1"drop 1n 5011 test C1ass1fication of soi l
Leaching System:Number of trenches
Signatur e Li Itll)(censed nsaer
(Sketch showing all minimum distances and other details required below)«71,;ré'r i lAE}‘1 n/'”'.{.4LM
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Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By
TOWN OF SOUTH WINDSOR
BU l LDIN‘G DEPARTMENT
South Windsor,Connec ticut
Application for Permit to Install or Repair Individual Sewage Disposal System 229 ,/
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Application 71:10.
’5 19 (i7/»
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 &&'¢¢i rfM’w/a44 M zg/M’é i [Sgndressy of Owner f/xwkggzirvz‘éw;/
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2.Location of Property .7}Lot.No.'\
3.Type of Structure No.of Bedroom(Dwelling,Commercial Buildingtgie.etc.)
4.Number of Families or Persons to Occupy Premises Z
5.Plumbing Fixtures:Water Closets Urinals .2 Lavatories Q Bathtub
Showers Kitchen Sinks Laundry gubs Garbage Grinder Other
6.Liquid Capacity of Septic Tank N55“aterial of Septic Tank .w<:dn¢/Jw-
7.Soil Conditions:Type of Soil Maximum ground water tabl
8.If not served by public water supply:Distance from Owner’s well from adjacent well
9.Distance to nearest water course,drainage ditch,storm drain or embankment
10.Percolation Tests:Time for 1"drop in soil test Classification of soil
11.Minimum square feet of effective seepage area required
12.Leaching System:Number of trenches 5)Length 7 T f Width .2 I Total 4‘5‘634c/i"
Other
4
(Sand,Gravel,Clay,etc.)
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Signature i.
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(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
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Installation Completed,Inspected and Approved 19 'By
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Permit Issued
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