HomeMy WebLinkAbout1970-6-16 - 114 Buckland Road - Septic ApplicationK&S 1*'Al0 TOWN OF SOUTH WINDSOR PrA,,,,r
oNF�K I TS BUILDING DEPARTMENT A(V.�d-S7
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No._ a&� I PO- /
TO THE BUILDING DEPARTMENT: Date_ /6 7",Vty 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 `-=r«IAOf r04564A 0"49 Address of Owner «i BuCMA.A& RoA & _
2. Location of Property Ili/ Lot. No.
3. Type of Structure N f
SN�� �Tw*o _*Fr�MA'iF Ii<k t� ���� � Na. of Bedrooms 3
If (Dwelling, Commercial Building. Store, etc.)
4. Number of Families or Persons to Occupy Premises__O"f ,Il oc"y& ,
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic TanktAEP aN S Material of Septic Tank
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 well7V ?" t from adjacent wells'7a OW t
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil testor f4oAf&47W Classification of soil
11. Minimum square feet of effective seepage area required/F-0 pr AOA ro lAt OF A'70 194 F'T
12. Leaching System: Number of trenches MMIN Length 2ya so I- Width a - r FT Totali40 *1 Or
Other 0
Signature
((�� (Licensed 1 to r} !� sU 94 ■
(Sketch showing all minimum distances and ot}i�rgdefa!lsb qu�l&L--owi
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Permit Issued_ & . A fe 1070
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Installation Completed, Inspected and Approved__
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