HomeMy WebLinkAbout1970-11-12 - 1906 Main Street - Septic As BuiltApplication for Permit to or
Application No.
TO THE BUILDING DEPARTMENT:Date Iv/M£U$H£é&19 ‘2é
A permit is requested for repair or construction of an individual sewage disposal s3%tem concerning which the
following information is submitted:
1.Owner of Propertygl Og M 7:LHoLL§§£Address of Owneri‘W-lé NIH”SfA6E'r-
2.Location of Property §AM€Lot.No.
3.Type of Structure ‘hw ~v
(Dwelling,CommercialI,Building,Store.p etc.)N0.of Bedrooms 3
4.Number of Families or Persons to Occupy Premises§~lé§i1)FwlLw
5.Plumbing Fixtures:Water Closets !I
Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other g;
6.Liquid Capacity of Septic TankWMaterial of Septic Tankwb
7.Soil Conditions:Type of Soil §Ag~1h Maximum ground water table;__i
(Sand,Gravel,Clay,etc.)
8.If not served by public water supply:Distance from Owner’s wellfguMJC,from adjacent wells :2 5 FT i:
9.Distance to nearest water course,drainage ditch,storm drag or embankment
10.Percolation Tests:Time for 1”drop in soil test Classification of soi
11.Minimum square feet of effective seepage area required !-
12.Leachiag System:Number of trenche'E’guaée as}Length we .rxz Width 'v .g pr,Totaldaea si;Fr
Other -A n
Signature [Q (.9 dalwqwo
Vtju¢as;746)
(Sketch showing all minimum distances and other‘d'et ills re’iMred-
Séé avg-2 tier;:‘sué “my-1,
Permit Issued nJ AaéggAf-a 19 ZO Bk.
Installation Completed,Inspected and Approved -aL
bio wiiwua (‘13-19 '7C By
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(P ‘é‘A”)
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT P’‘WLM’T
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South Windsor,Connecticut
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