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HomeMy WebLinkAbout1965-10-18 - 120 Mountain Drive - Septic As BuiltTOWN OF SOUTH WINDSOR BUILDING DEPARTMENT South Windsor,Connec tic ut Application for Permit to Install or Repair Individual Sewage Disposal System Appllcatlon No TO THE BUILDING DEPARTMENT:Date M vf 19 éf A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted 9 Qt)?i t,g.ingrstm‘n 1. 2. Owner of Property y¢"Address of Owner J Location of Property //7,f I 1 NJ Ila:xnlwfidml $fw Lot.No.z ~6‘m w £//,:Type of Structure No.of Bedrooms‘V (Dwelling,Corninercial Building,Store,etc.) Number of Families or Persons to Occupy Premises t,Plumbing Fixtures:Water Closets Urinals Lavatories Bathtubs .7 Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other Liquid Capacity of Septic Tank Jfo Material of Septic Tank Kw C f t‘fr //9rrcw I z f s Distance to nearest water course,drainage ditch,storm drain or embankment 6 Soil Conditions:Type of Soil 2-,,v V ‘Max1mum ground water table(Sand Gravel Clay,etc) If n0t served by public water supply:Distance from Owner’s Well Sci L :1 (.from adjacent well 10.Percolation Tests:Time for 1”drop in soil test @7///Classificatio of soi f’aY)‘ 12. 11.Minimum square feet of effective seepage area required Leaching System:Number of trenches Length 2 OD Width ,7 0 Total =<cf M1 Installation Completed,Inspected and Approved 19 By l Other J Signature ‘/"/¢/O¢/_//, //;/c/€?/'5 / (Licensed Installer)v / (Sketch showing all mini-mum distances and other details requir d below) Permit Issued 19 By NO.MOUNTAIN DRIVE Being Lot No.4Q on mar Foster $t.South Windsor, Hayden L.Griswold C.E. IrScale 30P'v myngw SOUTH wiNDSOR,CONN. ent;tled "Map of OAK RtnGE ESTATEs IIConn.Scale:40'Sept.S,1063 Sheet 3" vb &)%wi GPEéH“LP ‘.L . OQG QQ LGT 183 63 y0c 3.??‘3§ ER BUILDING.PURPOSES