HomeMy WebLinkAboutSeptic Repair 239 Oak Street /! TOWN OF SOUTH WI N DSOR
l'E� ►�AiD BUILDING DEPARTMENT PO4"i7-
lay G NEcK „ic, 88� South Windsor, Connecticut
Application for Permit to Install o Re air Individual Sewage Disposal System
Application No. iP07 7.0-1
TO THE BUILDING DEPARTMENT: Date .6' Qc ryza-/b 19 170
A permit is requested for construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property�IowAR.y e. f-°rrS Address of Owner_a3.9
2. Location of Property A.4,F Lot. No.
3. Type of Structure `Zww"1^19 No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy PremisesL&O-dF-e i G*,nxV
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank EXIS°rIA 6- 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 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 Length Width o Irpr Total
Other
Signature
A ( e d nstaner)
6 bd M' i"r 1
(Sketch showing all minimum distances and of er etas s requl ow
1IEpa
T.2�NC14ES. /.lo Pip&W aSo- 1 nr! TN�y
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SrCx i<� 2d�-r 141 ✓& T11^9
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�r Rr ENDS.
Permit Issued 19i70 v
Installation Completed, Inspected and Approved 07