HomeMy WebLinkAboutSeptic Repair 863 Main Street �S TOWN OF SOUTH WINDSOR
G�. BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or a ai Individual Sewage Disposal System
Application No. O$if 6,9
TO THE BUILDING DEPARTMENT: Date f'L c t d 19 e.9
A permit is requested for(ED or construction of an individual sewage disposal system concerning which the
following information is submitted:it
1. Owner of Property K / /'�c TTN fR Address of Owner 8(-3 /V7A*4 -'r et s li T
2. Location of Property SAME Lot. No.
3. Type of Structure —bWT&u. N No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_OAIE Cif 411;�*V+t`v
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank LOST 114 4 Material of Septic Tank
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 7S7 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
12. Leaching System: Number of trenches s Length h0 Width a+S Total 75-a
Other ApD 4 30o XA;
Signatur W
A (Licen nstaner)
(Sketch showing all minimum distances and otf�ePfe0&s NqhV'e-Vff6w)
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Permit Issued L/ /4aW Sv- 194,9 B
Installation Completed, Inspected and Approved 14 ArLtlr 1949
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