HomeMy WebLinkAbout1971-6-29 - 145 Maskel Road - Septic As Built(aHEmg 2a §€§
‘65“TOWN
IBUILDING
OF SOUTH
DEPARTMENT
WINDSOR f7 -é (D
South Windsor,Connec ticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
Date ’i 0 t’P .-
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
(yaw‘vz yguvbf/IA.Address of Owner /¢/S’k ””5kfxé I
2.Location of Property (gf4f’f Lot.No.
3.Type of Structure /$wflt.)A/é No.of Bedrooms(Dwelling,Commercial Building.Store,etc.)
4.Number of Families or Persons to Occupy Premises
5.Plumbing Fixtures:Water Closets Urinals Lavatories Bathtub s
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
—
6.Liquid Capacity of Septic Tan aterial of Septic TankkM
7.Soil Conditions:Type of Soil Maximum ground water tabl
(Sand,Gravel,Clay,etc.)
8.If not served by public water supply:Distance from Owner’s well (r from adjacent wells ~
9.Distance to nearest water coarse,drainage ditch,storm drain or embankment
10.Percolation Tests:Time for 1"drop in soil test Ey’a ”l?I Classification of soill I I
11.Minimum square feet of effective seepage area required
12.Leaching System:Number of trencheséiv‘ig LS)Length i 5c FT Width £‘6)FT Total $51”(4,FT
Other
I I —
License Inst ler()
(Sketch showing all minimum distances and other details required below)
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Perr§it Issued I é:‘~’v 9 19 '7:By /J W4,
Installation Completed,Inspected and Approved yin V)«i‘\&19 ‘71 By H w L.
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