HomeMy WebLinkAbout1965-11-19 - 1021 Main Street - Septic ApplicationTOWN OF SOUTH WINDSOR
A permlt 15 requested for repalr or constructlon of an 1nd1v1dual sewage concerning whlch the
following mforrnatlon ls subm1 ed
1.Owner of Property Address of Owner /m/MéZ/z z/c I
2.Location of Property W¢/C/%’,%7M w)~Lot No
3.Type of Structure,”(Dwel 'g lg Commercral Bullding Store,etc )No.of Bedrooms
4.Number of Families or Persons to Occupy Premises /m/{g/§/5W?’7¢v
U nals avatorles Bathtubs5.Plumbing Fixtures:W‘ater Closets z
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6.Liquid Capacity of Septic Tan aterial of Septic TankkM
7.Soil Conditions:Type of Soil Maximum ground water table
(Sand,Gravel,Clay,etc.)
8.If not served by public water supply:Distance from Owner’s well S from adjacent wells F@
9.Distance to nearest water course,drainage ditch,storm drain or embankment :92 Sw/S Lc/A ,I?
10.Percolation Tests:Time for 1"drop in soil test Classification of soil
11.Minimum square feet of effective seepage area required
s h l12.Leaching System:Number of trenche Lengt Width Tota
Other
Signature ////%/W
(Licensed Installér)
(Sketch showing all mini-mum distances and other details required below)
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at ’H §\E
Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By
2
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South Windsor,ConnecticutI
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No
1f”TO THE BUILDING DEPARTMENT'Date ////y 9