HomeMy WebLinkAboutSeptic Repair 819 Main Street TOWN OF SOUTH WI N DSOR ;E3�-Z;0/7-
��a� 335� BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. 3
TO THE BUILDING DEPARTMENT: Date / 1920
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 �./7�re c— /�� a.�Address of Owner 80
2. Location of Property =., ,
Lot. No.
3. Type of Structure 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 OA v� Material of Septic Tank
7. Soil Conditions: Type of Soil (Sand,Gravel,Clay,etc.) Maximum ground water table_
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 embankment
10. Percolation Tests: Time for 1" drop in soil test --� �` Classification of soil SAA1
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches / Length y 201- Width 2 5 Total
Other
Signature Iif vim"'1 E&4 Q/
V'(Licens d Iastandr
(Sketch showing all minimum distances and other details required below)
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Permit Issued—,���0/7 j 1926 By / r
Installation Completed, Inspected and Approved as SEPTE,44951e_ 197 0
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