HomeMy WebLinkAboutSeptic Repair 454 Oakland Road TOWN OF SOUTH WI N DSOR 6 44^ 1 r6
BUILDING DEPARTMENT Atli
South Windsor, Connecticut /
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. /�
TO THE BUILDING DEPARTMENT: Date J a N E ' (, 19"
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:LJ gyp n A ,
1. Owner of Property t t !►'l l7 IV b O� fr ddress of OwnerAS��- (//�
2. Location of Property / �� Lot. No.
3. Type of Structure No. of Bedrooms_
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ 7
5. Plumbing Fixtures: Water Closets Urinals---- Lavatories Bathtubs_
Showers Kitchen Sinks ` Laundry Tubs Garbage Grinder "—' Other l—kz"Meg- AM111AF
6. Liquid Capacity of Septic Tank 4 6 011 - Material of Septic Tank L
7. Soil Conditions: Type of Soil V�� Maximum ground water table
cc sand,Gravel,Clay,etc.)
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8. If not served by public water supply: Distance from Owner's well �� from adjacent wells )GC- 7 / "
9. Distance to nearest water course, drainage ditch, sto m drain or embankment
10. Percolation Tests: Time for 1" drop in soil test Classification Classification of soil
11. Minimum square feet of effective seepage area required /.,�l/
12. Leaching System: Number ofnches wf%/ Length"l b Width�a Total (Sy^�
Other E (/G L U
32
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? r9 1/ SigriatuT .censedInstaller)
(Sketch showing all minitnum distances and other details required low) ye�
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By