HomeMy WebLinkAboutSeptic Repair 99 Ridge Road C _
TOWN OF SOUTH
W NDSOR
BU I LDLNG DEPARTMENT
South Windsor, Connecticut
D'
Application for Permit to Install or Repair Individual Sewage Disposal System
14—.�
Application No.
TO THE BUILDING DEPARTMENT: Date G//� 6 f / a 19 6 4—
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 i�RF d (f A-llt 61V Address of Owner"
2. Location of Property Sr"IT Lot. No.
3. Type of Structure U(E JLI Al& No. of Bedrooms_
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises (.�k g,
E FAA I LP
5. Plumbing Fixtures: Water Closets 9, Urinals-- Lavatories ,_, Bathtubs_
Showers_ Kitchen Sinks _ �Lyaundry Tubs_"-'" Garbage Grinder_ Other
6. Liquid Capacity of Septic Tank Ig10 l! 0 Al-` Material of Septic Tank V�y E: E-
7. Soil Conditions: Type of Soi101/fir w ilf J Akh F1 L 4 Maximum ground water table F -
(Sand,Gravel,.Clay,etc.)
8. If not served by public water supply: Distance from Owner's well e i fro�/m r
adjacent wells - am
9. Distance to nearest water course, drainage ditch, storm drain or embankment_ N o v
10. Percolation Tests: Time for 1" drop in soil test otgl f t J:(V A/ Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches 51E LGength - d Width Total)—/ Fr
Other L G"f�L 0 7 - �' �o ait
! Signature
? cen ed Insfall7er
t (Sketch showing all minkn�um distances .nd other details required below)
gib G
��n2 l AfP SST
Permit Issued 19 By
Installation Completed, Inspected and Approved z�s r 19� By
i
y
T
i
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date 19
A permit is requested for waysiv @ construction of an individual sewage disposal system concerning which the
following information is submitted: 99
1. Owner of Property A.W- CAY&DON Address of OwnerZ106M 9.0401 UJWM#^ar
2. Location of Property 1ZLOM 24—Mo Lot. No.
3. Type of Structure wELL41J4: No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of 4a@%4ier*-w Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 5 Urinals Lavatories s Bathtubs 3
Showers I Kitchen Sinks 2 Laundry Tubs I Garbage Grinder I Other
6 Liquid Capacity of Septic Tank Material of Septic Tank —'oNC9Z ETE
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Clay,etc.)
t
8. If not served by public water supply: Distance from Owner's well Ill from adjacent wells lCGO
9. Distance to nearest water course, drainage ditch, storm drain or embankment Z Si Wh.
10. Percolation Tests: Time for 1" drop in soil test 10 rAo;m Classification of soil
11. Minimum square feet of effective seepage area required "0
12. Leaching System: Number of trenches 4 Length 46 Width 2-5 Total ` 40
Other ` ZOO Sty
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
'SSG AWC41d LOWAok G+•2 '
1
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By