HomeMy WebLinkAbout1964-11-6 - 1039 Main Street - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILD!N'G DEPARTMENT
South Windsor,Connec tic ut
Appiication for Permit to Install or Repair Individual Sewage Disposal System
“KAppliationNo.
TO THE BUILDING DEPARTMENT:Date “Mi @.19é¢
1’A permit is requested for repair or construction of an individual sewage disposal system concerning whicl’i the
following information is submitted:
1.Owner of Property‘h f ilk/r i I;
1
e ‘.;:r ‘f
ul-e-ty'1'Address of Owner f"‘6‘3 ,r"7/7
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o’;L c LO f”’I z
.(ji 1L "Lot.No.
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fw's
2.Location of Property f 6 3i 11kg
3.Type of Structure _-./1 rs z on!
(Dwelling,
‘w)
Commercial
L
Buildinégstore,
if r L t ,etc.)No.of Bedroom
2-,,we»
4.Number of Families or Persons to Occupy Premises
5.Plumb 111 g Flxtures .Vv ater C10 s ets Urinals LavatOI le S Ball “lb S
f .
8.If not served by public water supply:Distance from Owner’s well 93/4 r r
from adjacent wells f)f n z x;
9.Distance to nearest water course,drainage ditch,storm drain or embankment
10.Percolation Tests:Time for 1"drop in soil test Classification of soil
’1 x'e 1 4'x ”a
12.Leaching System:Number of trenches y
11 Mlnlmum Square feet 0f e§ective seepage area required r 7"EV-a.“f!V i 5:;f ‘-g'1‘!Ky
Length E/(Li I;Width 9,Total J;
Other x/
f 3 r
Signature ‘s-"(Licensedlh'stall'er)
(Sketch showing all minimum distances and other details required below)
Permit Issued 1 9 By
Installation Completed,Inspected and Approved,19 By
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6.Liquid Capacity of Septic Tank i 6k Material of Septic Tank f/
J {1‘r"fl?it}?!
7.Soil Conditions:Type of Soil ,,A-y"f Maximum ground water table I”:.v-iv ,5/(and,Gravel,Clay,etc.)
£LEPH0NE JA 8-0988
WILLIAM P.HELM &SON
WATER SUPPLY AND SEWERAGE DISPOSAL
ING STREET
LNI/W
53‘
/%1/0/
WzI/
..Box 168
A-O RD a.CONN.§
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