HomeMy WebLinkAbout1967-6-15 - 1370 Main Street - Septic As BuiltTOWN OF SOUTH'WINDSOR
BUILDI NG DEPARTMENT
South Windsor,Connec tic ut
Application for Permit to l@&r Repair Individual Sewage Disposal System
Application No.//
TO THE BUILDING DEPARTMENT:Date tit2rV€/5‘19 é z‘1,
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 fig [Ada V‘f‘]IV<i"\rrAddress of Owner /\3 /['///((OV fr
2.Location of Property 6Q»:P Lot.No.
3.Type of Structure h iv No.of Bedrooms g/(Dwelling,Commercial Building,Store,etc.)
4.Number of Families or Persons to Occupy Premises ///2 M Z/</
5.Plumbing Fixtures:Water Closets Z Urinals (i Lavatories Bathtubs 3
Showers D Kitchen Sinks g Laundry Tubs Q Garbage Grinder C\\Other c3
6.Liquid Capacity of Septic Tank Material of Septic Tank Chi/C f1:7g Mayegjé-&5
5347)Maximum ground water table .~/7.Soil Conditions:Type of Soil
(Sand,Gr‘a'vel,Clay,etc.)
I
8.If not served by public water supply:Distance from Owner’s well p éj
V *0'/from adjacent wells
9.Distance to nearest water course,drainage ditch,storm drain or embankment /’dbén /
10.Percolation Tests:Time for 1”drop in soil test f3 M/Ir"Classification of soil
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11.Minimum square feet of eifective seepage area required 3 7 <
12.Leaching System:Number of trenches Lengthié Me r W Width =35)"Total x ’7 g /
Othe :’7.‘’}r A /J 4
L(I,icensed Installer()
(Sketch showing all minimum distances and other details required below)
Me Mm a 7h $0
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Permit Issued 19
Installation Completed,Inspected and Approved 19 By
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