HomeMy WebLinkAbout1967-6-27 - 180 Laurel Street - Septic ApplicationCkwg<£5‘6(TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT 4&-South Windsor,Connecticut Eqg?Z01?”
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
*é?’W
TO THE BUILDING DEPARTMENT:Datew “h e;a 7 19 25 7
A permit is requested for repair or construction of an individual sewage disposal system concerning which the I
following information is submitted:
1.Owner of Property Y .Q—V’Address of Owner /80 J“;um]%l’
2.Location of Property ([80 ”Lau'eg/gain I Lot.No.47
3.Type of Structure />LA}o//I Lac.No.of Bedrooms 3(Dwelling,Commercial Building,Store,etc.)
4.Number of Families or Persons to Occupy Premises #,_
5.Plumbing Fixtures:Water Closets ,Urinals ——/Lavatories Z Bathtubs {
Showers Z Kitchen Sinks g-
Laundry‘Tubs 4’Garbage Grinder
J “Other A u‘lLc-meg/m}.
6.Liquid Capacity of Septic Tank Go QJ Material of Septic Tank afhc-«cl‘ci.
i‘d/WJ 7:2 Maximum ground water table »-—/
7.Soil Conditions:Type of Soil /(Sa d,Gravel,Clay,tc.)
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 8 C z
(Sketch showing all minimum distances and other details required below)
x.
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.i i l l F.
l
(y
n.
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PeriEit Issued__!r 19
Installation Completed,Inspected and Approved
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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 Length /EC)f Width 3 CD W Tomi 360 p f
Other