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Septic New 325 Buckland Road
TOWN OF SOUTH WINDSOR 'AAC4/T- BUILDING DEPARTMENT lb6 -7 Z� South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System Application No.0!3 Z.el?l 3 TO THE BUILDING DEPARTMENT: Date. ;? 7 ig 7 A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: 1. Owner of Property -R (5Q zoo„x Address of Owner 2. Location of Property 410 Lot. No. 3. Type of Structure /A/ to No. of Bedrooms (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ 5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tank ! a S—® Material of Septic Tank �C'iU 7. Soil Conditions: Type of Soil <: Z4"- 'A Maximum ground water table (Sand,Gravel,Clay,etc.) 8. If not served by public water supply: Distance from Owner's well 7 S from adjacent wells 9. Distance to nearest water course, drainage ditch, storm drain or embankment 10. Percolation Tests: Time for 1" drop in soil test_ Classification of soil 11. Minimum square feet of effective seepage area required —A-1'?� �f � ��7 � �3�. sq F r 12. Leaching System: Number of trenches_ Lengt _ idth Total Other Signatur (Licensed Inktaller Vucj_33999 a> (Sketch showing all minimum distances and other details required below) Permit Issued1119— By!Sr— " 71 Installation Completed, Inspected and Approved 19 By 331 , kA*-Aj E / I I 3.4' / I 7V ) / 7e SCE.;i I_; i1 ITV:)SC I~7 �` t � SONTI POD LOCATi(;rJ 3z5 I✓yCK,&AND Roca OVVINs�.s.'' OMa:R �alao0)( TY P N ViOgA SEPT%O tas7ALI-A1'IoN 0�\ i l 0 24 71 P l"MI f 71- 12 i'fF�t4,t I RS TALL E P -[>AVI,4 WW1 - a39990) u'aPf i T'C?P N— ©PA'MNi3Y "E r