HomeMy WebLinkAboutSeptic Repair 54 Scantic Meadow Road TOWN OF SOUTH WI N DSORt
BUILDING DEPARTMEN,T
South Windsor, Connecticut /0
76,
Application for Permit to Install or Repair Indiv4dual Sewage Disposal System
Application No.
73A
TO THE BUILDING DEPARTMENT: Date_ �97 19
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 PC ���R-�Y��'Address of Owner.
2. Location of Property <111VA Lot. No.
3. Type of Structure E L IN C No. of Bedrooms_
(Dwelling,Commer�l Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ P)
5. Plumbing Fixtures: Water- Closets Urinals Lavatories Bathtubs r
Showers Kitchen.Sinks�_ L undryyTubs Garbage Grinder OtherA4QW,#' -*—kt-
6. Liquid Capacity of Septic Tan Q G ,3 f! Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table_
and,Gravel,Clay,etc:
8. If not served by public water supply: Distance from Owner's well 48"C from adjacent wells
9. Distance to nearest water course, drainage ditch, st m-dr in or embankment g
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Numllr of trenches Length ��' Width Total
Other Y,
Signatur
(License nets er)
I/ (Sketch showing all minimum distances and other details required below)
¢ SO-77�'Tlw �ce4-,�, cc.`' each d•
r
s
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By