HomeMy WebLinkAbout1966-12-2 - 160 Long Hill Road - Septic ApplicationBUILDING DEPARTMENT
South Windsor,Connecticut
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Appiication for Permit ta Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT:Date 19
A permit is‘requested for repair or co%struction of an individual sewage disposal system concerning which the
following information 1s submitted
1.Owner of Property V/‘a/MM %7 p/w /r/Address of Owner A 0 m K ;//K%o
2.Location of Property [(51 <4 n/w AZ //Pf/Lot.N0.~-“—"'
3.Type of Structure O Hip //No.of Bedrooms Z‘L/
(Déelhng,Commermal Building,Store,etc )
/Ft /h 1 é l/4.Number of Families or Persons to Occupy Premises
5.Plumbing Fixtures:Water Closets Urinals ('/Lavatories [i Bagtubs g
Shogers O Kitchen Sinks 1 Laundry Tubs i3 Garbage Grinder (‘Othef‘
P Material of Septic Tank I/Viie fa/6.Liquid Capacity of Septic Tank r
7.Soil Conditions:Type of S011 Q k0 U a /Maximum ground water table /‘(i /
(Sand Gravel Clay,etc )
8.If not served by public water supply:Distance from Owner’s well 7—7‘5 g /from adJacent wells 2’/57)/
9.Distance to nearest water course,drainage ditch,storm drain or embankment v!-5 0 f3 /
10.Percolation Tests:Time for 1"drop in soil test in /Classification of soil
11.Minimum square feet of eifective seepage area required "3 7 5’l
12.Leaching System:Number of trenches /Length Width Total
Permit Issued 19 By
Installation Completed,Inspected and Approved -0z;./~am,'li‘t/-19W By!g
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Other
Signature a,,
Licensed Installer)
(Sketch showing all mini-mum distances and other details required below)
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