HomeMy WebLinkAbout1965-11-22 - 1891 Main Street - Septic As Built“N‘v
gv/TOWN OF SOUTH WINDSORJ:I}?
la!BUILDING DEPARTMENT
South Windsor,Connecticut
m
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Application for Permit to lnstall or Repair Individual Sewage Disposal System
Application No.
To THE BUILDING DEPARTMENT.Date //-2;?~é/fg"
A perm1t ls requested for repalr or constructlon of an 1nd1v1dua1 sewage dlsposal system concermng whlch thefollowmgmformatlonlssubm1tted
1.
2.
Owner of Property/lbv£0 P lfan/%<:f a]Address of Owner ;‘5‘7‘./~'/I:
Locatlon of Property Sp é’”Pt-“f"Pd "V:in v,“Jig/ow Lot.No.
Type of Structure £L4,’c //I Ive:d /J02727 a }No.of Bedrooms é(Dwelling,Commercial Building Store etc.)
Number of Famlhes or Persons to Occupy Premlses 3 F a1;Ag :Lai
Plumbing Fixtures:Water Closets Unnals (3 Lavatorles ,5 Bathtubs §
Showers Q Kitchen Sinks x'3 Laundry Tubs g)Garbage Grinder C1 Other 0
Liquid Capacity of Septic Tank ."a Material of Septic TankC (‘If‘ewzfe (fa fa Ifé)
Soil Conditions:Type of Sou xvi/va/Maximum ground water table “"6*
If not served by public water supply:Distance from Owner’s well i T f from adjacent wells .v‘&
Distance to nearest water course,drainage ditch,storm drain or embankment 7‘/0()
Percolation Tests:Time for 1"drop in soil test //,'
Classification of soil
Minimum square feet of effective seepage area required
Leaching System:Number of trenches i,Length v40 /Width l a //Tota1.3c)a;I 3a /‘
and Gravel Clay.etc )f1:
Installation Completed,Inspected and Approved 19 By
Other
Signature W /[m M LL‘(Licensed installer)
(Sketch showing all minimum distances and other details reqUIred below)
Permit Issued 19
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor,Connec tic ut
Application for Permit to lnstall or Repair lndividual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMgNT:Date 19
A permit is requested for repair or construction of an individual sewage disposal system concerning ghich the
following information is submitted:
5.Plumbing Fixtures:Water Closets Urinals Lavatories Bathtubs
Showers ('3 Kitchen Sinks f
Mi?Laundry Tubs f}Garbage Grigder {j}Other a9
6.Liquid Capacity of Septic Tank "'”¢"‘Material of Septic Tankti?riser,»if:iii/4")»7&2 Jwg}
Maximum ground water table W {it
(Sand,Gravel,Clay,etc.)7.Soil Conditions:Type of Soil analog
8.If not served by public water supply:Distance from Owner’s well 4 m ‘”a from adjacent wells 5%;If ‘l’zi‘rii‘
9.Distance to nearest water course,drainage ditch,storm drain or embankment aha}
10.Percolation Tests:Time for 1”drop in soil test if (9‘;(as far”
'
Classification of soil a;
11.Minimum square feet of egective seepage a:ea required
.-
r‘Joli i I"
12.Leaching System:Number of trenches 4’Length réf‘r Width ”i a:TotalafE-M
Other -
(Sketch showing all minimum distances and other details required beiow)
Permit Issued 19
stallation Completed,Inspected and Approved 19 By
1.Owner of Propertyg.‘'Address of Owner f?.f
3
9'é‘?‘i?
2.Location of Propertygim rel:”2;“g ill i Lot.No.
3.Type of Structure ‘ljtity’c:Hire-g No.of Bedrooms 5;w I (Dwelling,Commercial Building,Store,etc.)
4.Number of Families or Persons to Occupy Premises s3 15;?g;is zgjg