HomeMy WebLinkAbout1966-12-22 - 1891 Main Street - Septic As BuiltTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT ,.£5—7é g
South Windsor,Connec ticut
Application for Permit to Install or Repair Individual Sewage Disposal Systeo’y/
/,w‘Application No.f
TO THE BUILDING DEPARTMENT:Date v é C‘l;\19 ééI
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
erty #LBKO (Afg Address of Owner MW d/W/z/émwwcwu)wner of Prop1.O
2.Location of Property §,Amg Lot.No.
3.E‘ype of Structure DIX/QL-L//V/6 No.of Bedrooms Wit/raw
4.Number of Families or Persons to Occupy Premises C(Dwelling,Commercial Building,Store,etc.)tit/’3“?FzéW/L ‘r’
5.Plumbing Fixtures:Water Closetsg i Urinals w §Lavatories ?TI.Bathtubs “I.
Showers g +Kitchen Sinks Laundry Tubs Z Garbage Grinder i Other Wkbl£;£
6.Liquid Capacity of Septic Tank g /c'xi aga giL'Material of Septic Tank (“CS/(ICKWg/g£lC k
7.Soil Conditions:Type of Soil T145 D ‘i‘6L 4V Maximum ground water table g *#f»
(Sand,Gravel,Clay,etc.)I /
8.If not served by public water supply:Distance from Owner’s well Mfrom adjacent wells [kw +
9.Distance to nearest water course,drainage ditch,storm drain or embankment ;(I /i
lassincation of soil f /0 lt/
fig/L),
12.Leaching System:Number of trenches Length Width Total
otherfi/re-E bloc:rtC’L/‘i’rfo a-r‘,r Wax/m;a:Scare?#3 my 7%rfx (i ’Qe/
10.Percolation Tests:Time for l"drop in soil test
11.Minimum square feet of effective seepage area required
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Signature "
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(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By
Installation Completed,Inspected and Approved,19 By