HomeMy WebLinkAbout1969-5-27 - 15 Judy Lane - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor,Connecticut
Application for Permit Repair lndividual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT:Date 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
Location of Property /§$f~if“(In L Q IV e Lot.NO.
Type of Structure Diem e H /W&No.of Bedrooms 3
(Dwelling,Commercial Building.Store,etc.)
4.Number of Families or Persons to Occupy Premises /For m i /~(’/
5.Plumbing Fixtures:Water Closets '1.Urinals é Lavatories “’3.Bathtubs 'L
Showers Q?‘Kitchen Sinks l.—Laundry Tubs Cb}Garbage Grinder O Other 0
6.Liquid Capacity of Septic Tank "i o Material of Septic Tank C3 o iv e w .74?
Address of Owners/(x5,\TU JO A ti IVHJI
7.Soil Conditions;Type of Soil J71 /V/)Maximum ground water table -~g
(Sand,Gravel,Clay,etc.)
8.If not served by public water supply:Distance from Owner’s well +___7 Ué /‘/k.from adjacent wells ‘i I :
9.Distance to nearest water course,drainage ditch,storm drain or embankment 7‘5:5?£3
/
10.Percolation Tests:Time for 1"drop in soil test 3 ”u Ii/Classification of soil
11.Minimum square feet of effective seepage area required 3 7g”
12.Leaching System:Number of trenches a Length u /Width i v“,{/Total K3241 ~35 H
Other a :i
Signature C3?(ices-t [,(J (“W wa/Ka
(Licensed Installer)
(Siltgtcrh showing all minimum distances and other details required below)
\e'1 aw?(Feel/e”,
'Permit Issued 19 By
Installation Completed,Inspected and Approved -7 /??/i i/19 I”By ”WI/4 j/i::x’/
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