HomeMy WebLinkAboutSeptic New 79 Glenwood Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application 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 Property .Q- L� Address of Owner
2. Location of Property // Lot. No.
3. Type of Structure z"i a-e r(� No. of Bedrooms__
(Dwelling,Comme.��al Building,Store,etc.
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets .3 Urinals Lavatories_ Bathtubs______
Showers_ Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 1 D O G Material of Septic Tank � Z
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well . efrom 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 Total 61
Other
Signatur01
(Licensed Ins e
(Sketch showing all minimum distances and other details required below)
4
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
TD fin/Al O F .S 0 u T N
cs� /S0.510
0
r
/V
-!TO B. L
rr
PROPERTY OF
FOR BUILCo vu r U
u"USES,"USES ONLY
NO. GLENWOOD ROAD SOUTH WINDSOR, CONN.
Being . Lot No. 15 on map entitled "Plan of ORCHARD HEIGHTS Avery
Street - South Windsor, Connecticut Scale : 1" a 40' May 20, IQ65
Hayden L. Griswold C. E. Sheet 2 of 31.
Scale I" 40' f�--
GRISWOLD ENGINEERING INC.
I
v
QV
N
4,
I
/V
I
i
I ,
GLEN t�✓oc �
R G A D
.s !a
ri
PROPERTY OF FOR qu,"
NO. GLENWOOD ROAD SOUTH WINDSOR, CONN.
Being Lot No. 15 on map entitled "Plan of ORCHARD HEIGHTS Avery
Street - South Windsor, Connecticut Scale : 1 40' May 200, 1965
Hayden L. Griswold C.E. Sheet 2 of 3"
Scale 1 " a 40,
GRISWOLD ENGINEERING INC.