HomeMy WebLinkAbout1965 - 215 Lawrence Road - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDI NG DEPARTMENT
South Windsor,Connecticu 1‘
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT:Date Ma?”19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
s.
7.Soil Conditions:Type of Soi aximum ground water tablan,
8.If not served by public water supply:Distance from Owner’s well 7d /‘/from adjacent wells if?
9.Distance to nearest water course,drainage ditch,storm drain or embankment
l10.Percolation Tests:Time for 1”drop in soil test Classification of soi
11,Minimum square feet of edective seepage area required
12.Leaching System:Number of trenches C)Length “Width £2 3"“
Other
7¢-
rav ,Clay,etc.
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Installation Completed,Inspected and Approved 19 By
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1.Owner of Property.‘a Address of Owner
Location of Property (ééjéWf.{t/f)w ~-,II 9W5 Lot.No.‘
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3.Type of Structure Qkuéééygi 'No.of Bedrooms i(Dwellin ,mmercial BuildinghStore,etc.)
4.Number of Families or Persons to Occupy Premises (Vac t &m{{”/;¢v
5.Plumbing Fixtures:Water Closets r2!)Urinals favatories xZ/Bathtubs /
Showers z Kitchen Sinks g
i Laundry Tubs Garbage Grinder Other
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(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
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