HomeMy WebLinkAbout1966-8-29 - 116 Buckland Road - Septic ApplicationTOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to hliiw Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: �/�o
Date-A u G 2 5 19 �G
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: b JJ
1. Owner of Property A R L d prc iT I Ir Address of Owner �.
2. Location of Property B d C ef`j� (1( Lot. No.
3. Type of Structure No. of Bedrooms 21
( Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ;k A O cL in _t t C Y f t
5. Plumbing Fixtures: Water Closets L Urinals & Lavatories 2 Bathtubs �..
Showers � Kitchen Sinks _ Laundry Tubs Garbage Grinder i) Other
6. Liquid Capacity of Septic Tank, _,�`� Q c Material of Septic Tank___W��
7. Soil Conditions: Type of Soil $' A N 11 Gravel, Clay, etc.) — _Maximum ground water table
SanrT;
8. If not served by public water supply: Distance from Owner's well t i,�� from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment_ G c) D
10. Percolation Tests: Time for 1" drop in soil test ,] M J tt Classification of soil /7
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches % Length 3'6 Width_ X fD Total U r %'
Other
Permit Issu
Signature Y •' :'i t_ t� _�,-::-�v�.
f Licenaed�r�stallerj �s
(Sketch showing all minimum distances and other details required below)
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By
Installation Completed, Inspected and Approved 19 By