HomeMy WebLinkAbout1964-6-2 - 1486 Main Street - Septic As BuiltTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor,Connec tic ut
Application for Permit to lnstall or Repair Individual Sewage Disposal System I éZ/Application No.
To THE BUILDING DEPARTMENT:Date /fé>/19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1.
2.
Type of Structure jar ,4
Number of Families or Persons to Occupy P ises (W a amé/g w
Owner of Propertyn Wj d i I Address of Owner
If
Location of Propert ./48/—9//z’ggé4’riy Lot.No.
/
Plumbing Fixtures:Water Closets ,Urinals /Lavatories 92/Bathtubs /
Showers z Kitchen Sinks /Laundry Tubs Garbage Grinder other
No.of Bedroom s
(Dwe mmercial Building.Store.etc.)ll o
Liquid Capacity of Septic Tank
7-Material of Septic Tank (5y?y/ZAE‘J‘zJ
I
Soil Conditions:Type of Soil (Sand,Gr;v l,%lia4y,em”
7c?"'/If not served by public water supply:Distance from Owner’s well from adjacent wells 7J5T/7"
Distance to nearest water course,drainage ditch,storm draiil or embankment 09&/!I
10.Percolation Tests:Time for 1"drop in soil test Classification of soi
11.Minimum square feet of effective seepage area required !_!
52’at Maximum ground water tabl e
7
12.Leaching System:Number of trenches L vg Widt Totalh
Other —é M1 «‘’I I
Signaturer l'r M ‘’1%,‘3g;’,1
(Licensed Installer )//
belo )(Sketch showing all minimum distances and other details required‘\c
Permit Issued 1 9 By
Installation Completed,Inspected and Approved 19 By
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