HomeMy WebLinkAboutSeptic New 54 Gordon Drive 'Jr-
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. L 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 Address of OwneV �,/d
2. Location of Property l � �, 0�-t i.✓c— �,oe�c Lot. No.
3. Type of Structure r yL✓M�— < No. of Bedrooms_ `
(Dwelling,Commercial Building,Store,etc.)f
4. Number of Families or Persons to Occupy Premises_ ,
5. Plumbing Fixtures: Water Closets Urinals Lavatories 2— Bathtubs_
Showers__ Kitchen Sinks _ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank/. C� C� �� Material of Septic Tanker
7. Soil Conditions: Type of Soil f Maximum ground water table-
(Sand,Gravel,Cray,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 —3 Length 4 _) G� / Width . ��fa-' Total
Other ��• � °� /'. . ' ��2 d�
Signature = ✓ C �
( icensedInstalle )
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By
i
I ^?I r
36
G
PPOPERTY OF
Nib . ;+L;�N [)LAVE SOUTH WINDSOR, COhN .
Being Lot No. 15 on mao entitled "Map of ROLLING PARK Section I I
Lots 12-31 Griffin f '„ indsorville Roads South Windsor, Conn.
5ca l e : I " - 40' tkpr .. 1 ,5, 1 oci4 Revised June 4, 106S Hayden L.
C,riswold i . E ."
Scale 1 " 40'
H;k YD E N L . GR I S14O L P i. E .