HomeMy WebLinkAboutSeptic Repair 281 Oakland Road C 8E) 0�]Lk�c. - RCIJ-
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. -Az�- .3
TO THE BUILDING DEPARTMENT
Date 10 —L y— 1943
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 (2,✓yL/'.J?S ��s•ST, L a• Address of Owner 1,tllw,* ex,�Ixlexl&z-
2. Location of Property �� .� � ��9 ��� � N���A'�•A"+� IceAp Lot. No.
3. Type of Structure No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_8, .r
5. Plumbing Fixtures: Water Closets Urinals Lavatories %L- Bathtubs
Showers Kitchen Sinks, Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan AM-0 O4 • Material of Septic Tank 49,NG 4,2,#04°
7. Soil Conditions: Type of Soil S; Maximum ground water table
(Sand,Gravel, lay,etc.)
s1 ` c5/Ags
8. If not served by public water supply: Distance from Owner's well �as.c. 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 Zft+* DkPClassification of soil
11. Minimum square feet of effective seepage area required 8(30
12. Leaching System: Number of trenches Length Width Total
Other
Signature j ,-' censed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued ��9 fa-Z 3 19l°3 By
Installation Completed, Inspected and Approved 19 By
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