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HomeMy WebLinkAbout1964 - 1281 Main Street - Septic As BuiltTOWN OF SOUTH WINDSOR /% BUILDING DEPARTMENT South Windsor,Connet ticut Application for Permit to Install or Repair Individual Sewage Disposal System Application No. TO THE BUILDING DEPARTMENT:Date /%%m/ A permit is requested for repair or construction of an individual sewage disposal system coocerning which the following information i§bmltted 1. 2. QOwnerofProperty-% 42 >1 Address of Owner Location of Property /¢2 f/M/4/M Lot.No. Type of Structure CéJWZX/Q No.of Bedroom (Dwelli ,ommercial Building,store,etc.) x Number of Families or Persons to Occupy P‘mises y/éé.///. r Urinals ’‘l avatorieS/T-j—v/Bathtubs ,/Plumbing Fixtures:Water Closets Showers g Kitchen Sinks /Laundry Tubs 1 !Garbage Grinder Other Liquid Capacity of Septic Tank /&é¥c‘>Material of Septic Tank @¢Z //:/4<‘2?)'/\ Soil Conditions:Type of Soil ”N @f/Maximum ground water tabl (Sand,Grave ,Clay,etc.) If not served by public water supply:Distance from Owner’s well __Z._2f_/____from adjacent wells7c/2N/f Distance to nearest water course,drainage ditch,storm drain or embankment 10.Percolation Tests:Time for 1”drop in soil test Classification of soi l 11.Minimum square feet of edective seepage,area required Installation Completed,Inspected and Approved 5Q :2 ”f“kt/19vf~€/By/ s e 12.Leaching System:Number of trenches Other !’ Length Total//%%%?Q%g0; - ,z/Lééw 1L7Lé7/Signature Licensed’unstaller) (Sketch showmg all -Cvvégx‘, minimum distances and other details required belo l 1m.anw&g Permit Issued 19 5w li l i l . . . c§ r £ M/ W r / e’ g r '