HomeMy WebLinkAboutSeptic New 16 Fairview Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No._/tdjFd.9-
TO THE BUILDING DEPARTMENT: Date at &r*4 14- 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 d+& 00K 'T-&K 6 t a✓ Address of Owner
2. Location of Property J ,11.q Jf f J Za 1 1)S_ Lot. No. S
3. Type of Structure wc&—(_IAI G No. of Bedrooms Al
(Dwelling,Commercial Building,StZMIL
etc.)
4. Number of Families or Persons to Occupy Premises_dw3`:. 4 y
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 1..2-19-40 "1-4-on/ Material of Septic Tank d gow CA Z r I
7. Soil Conditions: Type of Soil CLgx Maximum ground water table
(Sand,Uravel,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
N
10. Percolation Tests: Time for 1" drop in soil test / A" 7. 3 Classification of soil
i
11. Minimum square feet of effective seepage area required litre
12. Leaching System: Number of trenches 8 Length R Width +Z. Total J 1&2#jai
O 1 X21 Nef AV* &4
Signatur
(,,Licensed I
(Sketch showing all minimum distances and other deYai� cared below) - 3s�1'7.3
�d C1.�; 1e�c s^tA►.t Zb Ar ai-tpa*- oP WTic.
Nam- im-169
C 1 , t�[erau�L+ -r 1 BADE t; (yam rror 42, M NTt� Frr rA/V
'D/rt 3'r)LL /.toT
Permit Issued 01 &t06EA- 19-w- B t
L
Installation Completed, Inspected and Approved 40 60l,0dt4. 19-6Q_ B •- W L
l2wlJft $03 Aorlb-)
I '
C'
SYST
PROPERTY OF
Me
.. :3G NO. FAIR VIEW PR IVE SO11TH W I ND,�OR CONN .
Being Lot #$ 'on .man ent.it Led Timber Ridge Homes, tart Hill Road fA aA
M; Ellington Road, South Windsor, Connecticut' Scale : 1 40' October
1068 Griswold, Engineering, Inc..'.
.5cate I" _ ti' rATE : v��!y =5
r
GR.ISW'OLD ENGINEERING, I'NC.