HomeMy WebLinkAbout1971-4-16 - 130 Buckland Road - Septic Applicationf} TOW14 OF SOUTH WINDSOR
BUILDING DEPARTMENT
14 �_� �F �_ South Windsor, Connecticut dc
Application for Permit to Install or Repair Individual Sewage Disposal System
Application
TO THE BUILDING DEPARTMENT: Date — 19 7 i
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property6i rrz?M .T K4,4w sn! _ .Address of Owner
2. Location of Property, 13Q &n:l, A17) Ro44A _Lot. No-
3. Type of Structure bwA LLi/l No, of Bedrooms
(Dwelling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises_ (%E [; ) A.4mjL Y
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
Ord.F — /2 SO
6. Liquid Capacity of Septic Tanknvig - icoo Material of Septic Tank_.
7. Soil Conditions: Type of Soil 016W SAND _ 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 _S M 14 UTW—ta Classification of so' ins ' S+ iJD
11. Minimum square feet of effective seepage area required" >-T P&2 6,-DRo&14 VIAL 0 F- nersq FT.
12. Leaching System Number of trenchesCIa) Length 3 4-S r-T Width_ 4• rFr Total$G3 s� Fr
Other__
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(Sketch showing all minimum distances and othsr
Permit Issued 19 ?/ By
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Installation Completed, Inspected and Approved 19?/ By _A W, /-,
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