HomeMy WebLinkAboutSeptic Repair 148 Scantic Meadow Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT �o.' eosA
South Wind/.sari o necticut
Application for Permit to Install or Repair ndividual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date : w,t 194
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 ,rA, +—Va,-q g Address of Ownerl'�f
2. Location of Property_1 F3 ��a,�-�-,'c Ica ow �� Lot. No.
3. Type of Structure �e�,c No. of Bedrooms_
(D-welling,commercial Wilding,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets t Urinals Lavatories_ Bathtubs_ I t
Showers_ Kitchen Sinks_ I Laundry Tubs Garbage Grinder --- Other
yy t
6. Liquid Capacity of Septic Tank, Q e�c�ll ! Material of Septic Tank CLn.,. _ ,t_
7. Soil Conditions: Type of Soil St., d Maximum ground water table—a-
Band,
Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment_ 'C70 J,
10. Percolation Tests: Time for V drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches_ Length Width
TotalJ_5'O 1
Other
Signature Q
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Appr 13
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�Oc- PA1'D TOWN OF SOUTH WINDSOR pae&"iT
BUILDING DEPARTMENT
i3y c�+�eK zs ss South Wind -onnecticut —
Application for Permit to Install or pair lindividual Sewage Disposal System
Application No._d)31 D 7) —I
TO THE BUILDING DEPARTMENT: Date--I 0 MgAeV 19 Z
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: c
1. Owner of Propertyl9l.&Oer MAitgt)" Address of Owner��18�eANTIC MiAaa.� ROAD
2. Location of Propert3COMM& Se-ANW14L t4OWbou$ i A.eawr 44PJAW Lot. No.
3. Type of Structure D yj F..&iA p No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy_Premises ONE G11 FAM 16y
5. Plumbing Fixtures: Water Closets 1 Urinals Lavatories 1 Bathtubs 1
Showers I Kitchen Sinks I -`: Laundry Tubs — Garbage Grinder Other
6. Liquid Capacity of Septic Tank 1000 GA 1*64a wl Material of Septic Tank �rT�
7. Soil Conditions: Type of Soil S wM a Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well 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 Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches i'wE IS) Length 21 S Off Width Z.S J9T Total 533 f5Q FT
Other
Signature
(Licensed Installer) �,
(Sketch showing all minimum distances and othir�at�i rlegai&Mot JW9-331•968)
Permit Issued 10 IN#A-.N 19 71 By . s�!t&
Installation Completed, Inspected and Approved 19 MARO 4 19�1 By
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