HomeMy WebLinkAboutSeptic New 45 Gordon Drive TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
v Application No. 1666--
TO THE BUILDING DEPARTMENT: Date. " �` 19 0' 6
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is sub 'tted:
c
I. Owner of Property Address of Owner
2. Location of Property C "�LJn/ �/ 1d Lot. No.
3. Type of Structure No. of Bedrooms 3
(Dwelling,Corfiniercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories 2 Bathtubs_
Showers t"' Kitchen Sinks / Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan d Material of Septic Tank �y
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 test of soil
11. Minimum square feet of effective seepage area required 9 J
12. Leaching System: Number of trenches 3 Length l Width Total y s I
Other
Signature / ( '✓0
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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FOR BUILDING PURPOSES ONL
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PROPERTY OF
NO. GORDON DRIVE SOUTH WINDSOR, CONN .
Being Lot No. 29 on map entitled "Map of ROLLING PARK Section II
Lots 12-31 Griffin f, Windsorville Roads South Windsor, Conn,
Scales I " = 40' Apr. IS, 1964 Revised June 4, 196$ Hayden L.
Griswold C. E."
Scale 1 " = 40'
HAYDEN L. GI? ISW'OLD C. E .