HomeMy WebLinkAboutSeptic Repair 259 Oak Street TOWN OF SOUTH WI N DSOR
BUILDING PARTMENT
South W' T, Connecticut
Application for Permit to Install o epair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date. d N\
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 K e n n 2 4 k L. M C,n 41 a- Address of Owner 2 s 9 ® o,-Vz -,rt +
2. Location of Property Same Lot. No. —7 Y
3. Type of Structure �weMk..� No. of Bedrooms
� (Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises b r,,9 c e 1 )r'�e...�(
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 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 Total
Other
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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aNAt PROPERTY OF '
KENNETH L. and EVELYN B. MONTIE ;
OAK STREET SOUTH WINDSOR, COW.
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Being Lot No. 72 on map entitled NMap of WOODLAND ACRES, Avery
Street, South Windsor Conn. Property of Amelia E.Blozie, Develp e
William Peak, Scale 1� 601 , Apr. 18, 1969, Hayden L.GriswoldC" la, ~,'t
-Sheet 1of2
Stele 111 = 501 September 1, 1960
Hayden L.sri swold.C.F,.
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