HomeMy WebLinkAboutSeptic Repair 30 Clark Street r
TOWN OF SOUTH WI N DSOR
SV 21+1� BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or(�Individual Sewage Disposal System
Application No. 7 7d—/
TO THE BUILDING DEPARTMENT: Date_ I7 9"Pic 19 70
A permit is requested fo it or construction of an individual sewage disposal system concerning which the
following information is submitted: A
1. Owner of Property&*&Am 0MAAftWS Address of Owner_ 0 0�.ArlAt .SfitiET
2. Location of Property S.4m4F Lot. No.
3. Type of Structure 1DWO«•/0iS No. of Bedrooms 3(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises gqidF &I #44"Irt1/
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
n
6. Liquid Capacity of Septic Tank)/GO f.� "d%4Z Material of Septic Tank��tAt47W LK/cNgrt�4
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or emb.?nkment
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches — Length Width Total
Other" / � iF S&UW t ^&^AQFMENT AMA
Signature /(Jo J
Med jnstaller) t
(Sketch showing all minimum distances and of r e ai s required below
A07c
N-A06.D r-akrH6(L Fazt4,4 p�FA�lntc
)) o
oz
EX i sTi.�S b 2a,.+' rises 'n, To.44—s-b a3. ' h
v
C �I,cq
IV
a
QJ
Permit Issued /7 .7,104r 19 0 By 144PL Ep.wltu T.t
Installation Completed, Inspected and Approved 17 1970 By
tl I //�9
�/N
3c CL,a,�.c S7aAFT
2c-c /a24 09/z 2�7C.
0
Tom'± C L.+P
224o2
µH