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HomeMy WebLinkAboutSeptic Repair 00 Oakland Road (5) Y TOWN OF SOUTH WI N DSOR gR-d! BUILDING DEPARTMENT South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal System Application No. TO THE BUILDING DEPARTMENT: Date (' e 19 A permit is requested for repair or construction of an individual sewage disposal system concerning^which the following information is submitted: 13 e A tkk 7 1, �W -�f__ p,.,rp�+� e f\� �/� 0J CQ h 1�19N Address o /Owner_&( dJLi T0WJU 2. Location of Property Q /, — 9C - / Lot. No. 3. Type of Structure L h1����-��� l�"! �D No. of Bedrooms (Dwelling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occup Premises_ E L 5. Plumbing Fixtures: Water Closes Urin is Lavatories LBptubs,_ �_Showers�� Kitchen Sinksa, ndry Tubs= Garbage Grinder' OtheN 6. Liquid Capacity of Septic Tank 9,3 0 &'YA4' Material of Septic Tank C- a NC2 &9 I 6 7. Soil Conditions: Type of Soil�5!4-A,-d FJL-E-. Maximum ground water table f ' (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 x/ 74 11. Minimum square feet of effective seepage area required 91" 12. Leaching System: Number of trenches z Length G Width Total ` Other e_ OO (fel ck (3z-elC k1 c' - 1 Signature - Age- 4 (Licensed Ins ile (Sketch showing all minimum distances and other details required below). u/ �L k., csmoc, t DR © Q o o �t= ?"P-E t✓c� 4 33' Permit Issued 19 By Installation Completed, Inspected and Approved 19 By