HomeMy WebLinkAbout1966-2-9 - 1510 John Fitch Boulevard - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor,C onnecticut
Application for Permit to Install or Repair Individual Sewage Disposal System §§i7
Application No.
TO THE BUILDING DEPARTMENT:Date PK“cf?7 _-19 é é
A permit is requested for repair or construction of an individual sewage disposal system gncerning which thefollowinginformationissubmitted:
5.Plumbing Fixtures:Water Closets Urinals Lavatories f Z Bathtubs _
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other-{fl§fg\‘x v"y Material of Septic Tank (a 7.!I6.Liquid Capacity of Septic Tank
7.Soil Conditions:Type of Soil E397 i-6;:Maximum ground water tabl¥(Sand,Gravel,Clay,etc.)
8.If not served by public water supply:Distance from Owner’s well a from adjacent well
9.Distance to nearest water course,drainage ditch,storm drain or embankment 5’0 "
10.Percolation Tests:Time for 1”drop in soil test r7 Classification of soi
11.Minimum square feet of effective seepage area required Va a
12.Leaching System:Number of trenches J Length Width 2-Total y§§l 0
Other o a H M c.fi‘‘'
Signature ‘83;
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(Licensed {ixstallen
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(Sketch showmg all minimum distances and other details required below
Permit Issued 1 9 By
Installation Completed,Inspected and Approved 19 By
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1.Owner of Property C00/V7y 0/57”/39m”3 Address of Owner W€V?é 5 sg‘w NV 0":4 IT
2.Location or Propert;/‘>10 QEHA/grca Br,VJ)i
Lot.No.
é a mmei We:/x!”i»3.Type of Structure -No.(Dwelling,Commercial Building,Store,etci)of Bedrooms
4.Number of Families or Persons to Occupy Premises
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