HomeMy WebLinkAbout1970-10-29 - 173 Miller Road - Septic Application and As BuiltTOWN OF SOUTH WINDSOR
'§é pA a b BU i LDIN'G DEPARTMENT pE/zxu 1T6}“292 Ta South Windsor,Connecticut Ma,*0~9&a[5y 5T3.beg.
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.i0 £19 ’76?--I
TO THE BUILDING DEPARTMENT:Date 39 OcToAm 19 ‘70
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
6.Liquid Capacity of Septic TankilSb &ALL¢M i
Material of Septic TankCcNCuQéT{
7.Soil Conditions:Type of Soil Maximum ground water tabl
(Sand,Gravel,Clay,etc.)
8.If not served by public water supply:Distance from Owner’s well “7§F‘T +from adjacent wells 7$~F‘T
9.Distance to nearest water course,drainage ditch,storm drain or embankment
10.Percolation Tests:Time for 1"drop in soil test 3H1nlwrES Classification of soil
11.Minimum square feet of effective seepage area required ialfef 961%.iggaKx-(ati ray/‘1‘;be;gm)5‘32 FT
12.Leaching System:Number of trenclmé‘£3)Length V ta 6T Width $u§f FT Total$y(sa‘gr,
Other
Signature {x
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(Sketch showing ail minimum distances and o‘thgrédggadsi/mcense$$ifol:r)requiredEbi/elow)(w9v3c/a3aa)
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Permit Issued $9 a€T c9A€£.19 '70 By
Installation Completed,Inspected and Approved Gv ”Mas so.19’70 By '
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1.Owner of Property guy 'grzt b§¢mi Address of Owner‘
2.Location of Property ["73 Ndémé’.&iw3 Lot.No.
3.Type of Structure w
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v?(Dwelling,Commercial Building.Store,etc.)No.of Bedrooms i
4.Number of Families or Persons to Occupy Premises_€)&(I)EiiluiLy
5.Plumbing Fixtures:Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
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