HomeMy WebLinkAboutSeptic Repair 22 Schweir Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTWENT- IVd,e
South Win ;,�onnecticut
Application for Permit to Install or� epair'Individual Sewage Disposal System
+ /% Application No. d3//?o—
TO THE BUILDING DEPARTMENT: Date. //fnA°M 1970
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,-//+1W®air 2. *s Address of Owner
2. Location of Property S-&LWVA,//'fe4-IE �&W wE12 /&AO Lot. No.
3. Type of Structure 10,0,n W--,0 1AN No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 3.5 n00 3 i000 Material of Septic Tank ` OTO#400 C 100Ai0AGTA
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well pu/34-IG from adjacent wells I4"6At C
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test !C--minluTES Classification of soil
11. Minimum square feet of effective seepage area required
849
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12. Leaching System: rN_umber of trenches (a � Length 10• Width #Jr 'Art r Total
Other • S w. —ZATt-b Jo#A ev m 9?4
Signature
( ce d nstaller
o) . •;A1 wCkt
(Sketch showing all minimum distances and of er etails required�ow)
Permit Issued t/ 1976 By /n47.V/tn!64eV•ILBS 4r&Of
.
Installation Completed, Inspected and Approved 2 A��/L 19 ?o By/1 A&-JIW Ea wA.eyS J&
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TOWN ' OFT SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT:
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/, S/r r� A S Address of Owner
2. Location of Property /�S'� ����6 V- ( Lot. No.
3. Type of Structure l-4 !�3 J16 0 — is Ila No. of Bedrooms
Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets , Urinals U LavatoriesL Bathtubs 6
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank S�D O Material of Septic Tank C�S�e74 (_ /Gl7 a r
7. Soil Conditions: Type of Soil S� Maximum ground water table = y
(Band,,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well It C from adjacent wells
/
9. Distance to nearest water course, drainage ditch, storm drain or embankment ± Z�
10. Percolation Tests: Time for 1" drop in soil test 3 I /y Classification of soil h-
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches__ Length Widths / Total VS!)
Other
Signatur
(rAcensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
75"
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