HomeMy WebLinkAboutSewer New 507 Avery Street TOWN OF SOUTH WI N DSOR C),)
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. 0 714 41-3
TO THE BUILDING DEPARTMENT:
Date fir / _19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted 1
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1. Owner of Property : = �rAddress of Owner
f ..,. t r QRc0"D I��t� S Lot. No.
2. Location of PropertyF/ .r _ c
3. Type of Structure �- t"Dweig No. of Bedrooms
uin I Commercial Build ,Store,etc.) Lr
4. Number of Families or Persons to Occupy Premises_ Le'.'� - f
5. Plumbing Fixtures: Water Closets / O Urinals Lavatories / Bathtubs f
Showers Kitchen Sinks ! Laundry Tubs Garbage Grinder Q Other
6. Liquid Capacity of Septic Tank ; Material of Septic Tank ( F f r t = t r
7. Soil Conditions: Type of Soil . '.✓.oaf.e�.E--f.. Maximum ground water table
(Sand,Graviel,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'' p►[w[&4r6-S Classification of soil
11. Minimum square feet of effective seepage area required 2S0/AS1b&0" = 7W Sg FSs-r
12. Leaching System: Number of trenches 8 Length AA 1,044S Width -DrS' 0-417 Total 798 si FT
Other
Signature
(Licensed installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued J AA!!6 e
Installation Completed, Inspected and Approved 1969 By
41 FOR BUILDING PURPOSES ONLY
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Sam' N�
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PROPFR rY OF � � --
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NO . AVERY STREET SOUTH '�r I NDSOR , CONFl , �iti�;�r��e�a��``
y being Lot No. 5 on map entitled " flan of ORCHARD HClkIIT:
Avery Street - South 'Windsor, Connecticut Scale : 1 " 40'
i May 20, 1965 Hayden L. Griswold C . E . " sheet I of 3"
Scale 1 " 40' PATE ;�`:✓`, F w
GRISWOLD 1-Nv,1NEEII' ING INC .