HomeMy WebLinkAbout1966-4-13 - 211 Newberry Road - Septic As Built and ApplicationTOWN OF SOUTH WINDSOR
BUlLDl N-G DEPARTMENT
South Windsor,Connec tic ut
Now V////y;3
L/(Dwelhng Commeraal Burlding,Store etc )
Application for Permit to Install or Repair Individual Sewage Disposal System
Application
TO THE BUILDING DEPARTMENT Date y §/d5,19
A permlt ls requested for repalr or constructlon of an 1nd1v1dua1 sewage disposal system concegung whlch the
following mformatlon ls submltted
ddress of Owner ///g<p/AC /
ot No
No.of Bedrooms 3:2
4.Number of Families or Persons to Occupy Premises ?)3 kc’fJ/‘F
5.Plumbing Fixtures:Water Closets e/Urmals é)Lavatorles Bathtubs Q
Showers C>Kitchen Sinks Laundry Tubs (2 Garbage Grmder /)Other &
6.Liquid Capacity of Septic Tan '~(E e Material or Septic Tank C‘o Wan r f1?
7.Soil Conditions:Type of Soil;§7&/l"d Maximum ground water table W (51*
(sand,Gravel,Clay,etc.)
8.If not served by public water supply:Distance from Owner’s well 7i from adjacent wells 75 &&&
9‘Distance to nearest water course,drainage ditch,storm drain or embankmentiif 3 O Cl
10.Percolation Tests:Time for 1"drop in soil test ‘‘Classification of soil
w/
11.Minimum square feet of enective seepage area required§
12.Leaching System:Number of trenches \3 Length ‘J
"/
Width 3a /Total &e9x5./f 30
Other
3.Type of Structure
Signatur (icense Installer)
(Sketch showing all mini-mum distances and other details required below)
Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By
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