HomeMy WebLinkAbout1971-6-29 - 24 Lewis Drive - Septic Applicationw
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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 Eé£/V,~('Q¢¢¢i if Address of Owner 5229/A52w$AI?
2.Location of Property C%w?”/re;Lot.No.
3.Type of Structure tab/4 gran/Ax {32 No.of Bedroom(Dwelling,Commercial Building,Store.etc.)
7.Soil Conditions:Type of Soil grMa‘xim’um
8.If not served by public water supply:Distance from Owner’s well 27$“from adjacent wells W3 C,”
(Sand,Gravel,Clay,etc)“'»‘.V id water table
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Installation Completed,Inspected and Approved v;if ‘JL,N C:19 o I By H WA.
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é’l‘BUILDING DEPARTMENT
South Windsor,Connecticut
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gpplication for Permit to Install or{§epair lndividual Sewage Disposal System
Application No.
Date $4}__”2 r‘grTOTHEBUILDINGDEPARTMENT:19 17/
4.Number of Families or Persons to Occupy Premises
5.Plumbing Fixtures:Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6.Liquid Capacity of Septic Tank Material of Septic Tank
9.Distance to nearest water course,drainage ditch,storm drain or embankment
10.Percolation Tests:Time for 1"drop in soil test P i"J‘V4 r)d Classification of soil
11.Minimum square feet of effective seepage area required
12.Leaching System:Number of trencheswiiwigai (.Li‘i‘}Length (i331 Ft”Width ’w r r Total 413C;ix PT
Other
(Sketch showing all minimum distances and other details required below)
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