HomeMy WebLinkAboutSeptic New 42 Gordon 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.
TO THE BUILDING DEPARTMENT: Date. it 19�
A permit is req!Zted:
for re air or construction of an individual sewage disposal system concerning which the
following information is su Alel f 9,,V1,7 eL
1. Owner of Property Address of Owner
2. Location of Proper ga 610/,2,V,4V/ iv dcc1 R2K. Lot. No.
a
3. Type of Structure No. of Bedrooms
(Dwelling,Commercial Building, tore,etc.)
c
4. Number of Families or Persons to ccupy Premises_ 4
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs l
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank . Material of Septic Tank'
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 . from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil tes r� Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches_ Length Widt Z Total 3 .5-
40
Other
Signature T-f
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 10 By
411
N i `410
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DR WIC
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M P EF T Y OF
lye>y• - ,
r NO. AIL, N DRIVE SOUTH 1,0 NDSOR, CONN
Be i,ng Lot No. 14 on map ent i tied ":'roverty of Po l I i ng Park Homes,
-_
t Mc. South- W i ndsor Conn. Scale I s 6C ' January 10, 1957"
Sc A I C l rr 4 / /S,U Vf t / 0 6
HAYDEN L. CkIS;VGLD, C. E.
1M BUILDING PURPOSES ONLY