HomeMy WebLinkAbout1965-10-10 - 109 Mountain Drive - Septic As BuiltTOWN OF SOUTH WINDSOR
BU l LDING DEPARTMENT
South Windsor,Connec tic ut-
Application for Permit to Install or Repair Individual Sewage Disposal S stem
Application No.
Date /a I»g 19m fTOTHEBUILDINGDEPARTMENT:
A permit is requested for repalr or constructlon of an individual sewage disposal system concerning whlch the
following information is submitted:Hedi)
5.Plumbing Fixtures:Water Closets ~Urinals Lavatories a/g Bathtubs i
Showers Kitchen Sinks i Laundry Tubs Garbage Grinder Other
6.L1qu1d CapaCIty of Septic Tank Material of Septic Tank ~///rt 7L(//v’rfvwud
7.S011 Condltions Type of Sorl 2 I gt.L Max1mum ground water table /p6/a/\{(Sand Gravel Clay,etc)
8.If not served by pubhc water supply Dlstance from Owner s well 4r /(from adJacent well s
9.Distance to nearest water course,drainage ditch,storm drain or embankment
10.Percolation Tests:Time for 1"drop in soil test m "J Classification of soi
r/
12.Leaching System:Number of trenches Length /(‘7 Width
‘x «//Total 3 7f a/"‘‘
11.Minimum square feet of effective seepage area required ,2 7 X
Other
Srgnature ”M////f
(Licensed Installer)"
(Sketch showmg all minimum distances and other details refulred below)
Permit Issued,1 9 By
Installation Completed,Inspected and Approved,19 By
l
’/7
Owner of Property -.W9 Address of Owner///V¢d €J 7L6a/
Location of Property (f m K ‘l/j J;’5 ”5V Watwmm/EQWL Lot.No.3?’5)
Type of Structure l w ‘<»NJ?No.of Bedrooms ,5 .r,
e1.»(Dwelling,Commercial Building,Store,etc.)
4.Number of Families or Persons to Occupy Premises