HomeMy WebLinkAboutSeptic New 129 Maskel Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to homer Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date- 'Z:u T� 19_
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 /, T, Greew �7-!" Address of Owner_1 MCLS ke /
2. Location of Property J.,9�M Qj, .motc I It,ot. No.
3. Type of Structure A �, /ye No. of Bedrooms_
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_T�_/Aq ���i
5. Plumbing Fixtures: Water Closets�� Urinals_ Lavatories_ Bathtubs_ _
Showers Kitchen Sinks__ Laundry Tubs Garbage Grinder Avif Other
6. Liquid Capacity of Septic Tank 71ro Material of Septic Tank 0,5 4e e ife 7Z �=
7. Soil Conditions: Type of Soil h r", ...a Maximum ground water table
(Sand,Gravel,qlay,etc.)
8. If not served by public water supply: Distance from Owner's well 1� from adjacent wells � �
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for V drop in soil test 3 A4 I r��_____Classification of soil
I I �^
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches_ Length Width G / Total,02"O' E r
Other ��I C/ m I4r rh dl
r 1 ,
Signature _ W w
(Lftensed Installer)
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 b9 By�CCf��