HomeMy WebLinkAboutSeptic Repair 146 Pine Tree Lane TOWN `OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut War4d
Application for Permit to hutuBw Repair Individual Sewage Disposal System ,
Application No.
TO THE BUILDING DEPARTMENT: Date_ fo% f Z- 7 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted
0*-2511 1. Owner of Property � 4 r ,- Address of Owner`/� �/ tr-.e C: /� le
2. Location of Property 4,4-1e e r e,
Lot. No. //7
3. Type of Structure ✓,Lv e / / No. of Bedrooms_
lling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ 4 0a., /,,
5. Plumbing Fixtures: Water Closets V-1 Urinals d Lavatories 2 Bathtubs
Showers—CD Kitchen Sinks` Laundry Tubs_ Garbage Grinder d Other O
6. Liquid Capacity of Septic Tank 4fy d Material of Septic Tank
7. Soil Conditions: Type of Soil h Q t,-e. Maximum ground water table y
(Band,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well � /d() from adjacent wells �y
9. Distance to nearest water course, drainage ditch, storm drain or embankment - `S y I aa
10. Percolation Tests: Time for 1" drop in soil test /►� ] Classification of soil �J-
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length f-6 Width 46 ! Total
Other ff��
Signature �YG
(Licenses. Installer)
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By lL
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Installation Completed, Inspected and Approved aS' By J1�7