HomeMy WebLinkAboutSeptic New 49 Deepwood Drive r
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. 4ilsm
TO THE BUILDING DEPARTMENT: Date (Tr--- 2 3 19 lo.
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 •?
¢/U d /i /z`cr`'�'1-� "'` Address of Owner. �'2� �'zc.Lt .�_.
2. Location of Property� 1��' u t " 'z� ,� �'�- —Lot. No.
3. Type of Structure �` -L/.P. ( No. of Bedrooms
(Dwelling,Coll,
o ` ercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder. Other
6. Liquid Capacity of Septic Tank ` `=t Material of Septic Tank
7. Soil Conditions: Type of Soil Cb EI ` 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 c, /- Classification of.soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width, Total
Other
Signature ` e7- 411V--1
(LiVensedInstaler) `
(Sketc i showing all minimum distances and other details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PROPERTY OF
NO. DEEPWOOD DRIVE SOUTH WINDSORp CONN.
Being Lot No . 38 on map entitled "BIRCH HILL ESTATES Foster Street r
South Windsor, Conn . Property of U R Housing Corp. Scale 1" 1001
Date: Jan . 21 , 1963 Hayden L. Griswold C .E."
a
Scale 1 " 50 ' S�"t "[
HAYDEN L. GRISWOLD C.E.