HomeMy WebLinkAbout1964-1-10 - 1648 Main Street - Septic As BuiltTOWN OF SOUTH WI NDSOR
BU I LDI NG DEPARTMENT
South Windsor,Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.#ygéb
TO THE BUILDING DEPARTMENT:Date /‘‘in 19 Qg
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1.
2.Location of Property /6 9f /‘I/¢/;r J‘/‘Lot.No.
Type of Structure a W r?//I w 9 No.of Bedroom
H gDwelling,Commercial Building,Store,etc.)
Number of Families or Persons to Occupy Premises /
Plumbing Fixtures:Water Closets /Urinals “"w"Lavatories 3 Bathtubs
Showers Kitchen Sinks Z Laundry Tubs Garbage Grinder 11 xxx/q £0 ther
Liquid Capacity of Septic Tank .x r1 Material of Septic Tank 0 /“t 1‘
Soil Conditions:Type of Son 53¢M J Maximum ground water table m
Owner of Property K t /?¢7’4//Mv/?/¢f Address of Owner /c (é?/‘2e/Lx 57.\ffw,
d
(Sand,Gravel,Clay,etc.)3"fE‘’T
If not served by public water supply:Distance from Owner’s well "from adjacent wells
Distance to nearest water course,drainage ditch,storm drain or embankment Q t8 Fh
10.Percolation Tests:Time for 1”drop in soil test "a?e J‘-Classincation of soil ["//../'JJ &.
Minimum square feet of effective seepage area required (o M
Leaching System:Number of trenches Q Length 7 Width .3 Total gave
Other P'
RE “g ‘7
Signature I
icensed Installer)///
11.
12.
(Sketch showing all mini-mum distances and other details required below)
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Permit Issued 1 9 By
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Installation Completed,Inspected and Approved //Java/457%19 Q‘J By
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