HomeMy WebLinkAboutSeptic New 360 Felt Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Applicatio No.
TO THE BUILDING DEPARTMENT: Date 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 Pro 3 rry 't�Q.t mQ� Address of Owner
2. Location of Property Lf k4o D Lot. No. 3
3. ._Type of Structure 'i A!1.&_—P 4 No. of Bedrooms
(Dwellin ,Commercial 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 /d Material of Septic Tank e�?,���
7. Soil Conditions: Type of Soil . Maximum ground water table
and,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 Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length_ Width ram _ Totally S�
Other
Signatu
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PROPERTY OF
NO . FELT ROAD SOUTH WINDSOIR CONN.
Being Lot No. 3 on map entitled "PINE HILL ESTATES Addition
No. 1 Felt Road South Windsor, Conn. Scale : 1" = 40' March 7.9,
1968 Griswold Engineering Inc. Sheet l of 211 .
Scale 1" 40'
GRISWOLD ENGINEERING , INC .
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