HomeMy WebLinkAboutSeptic New 96 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. O p'— I� 19
A permit is requ ted for rep it or construction of an individual sewage disposal system concerning which the
following information is s itted:
1. Owner of Property Address of Owner )b
2. Location of Pr e Lot. No."��
3. Type of Structure No. of Bedrooms
( Welling,Commercial Building, re,etc.)
4. Number of Families or Persons to 0042py Premises_ `
5. Plumbing Fixtures: Water Closets Urinals avatories Bathtubs_
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan /Cwro - Material of Septic Tank
7. Soil Conditions: Type of Soil - Maximum ground water table__,f;2Za2zC
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well ogggeuAsilLdn 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 3�*02V-" Classification of soil
11. Minimum square feet of effective seepage area required �iliJl
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12. Leaching System: Number of trenches_ Length_ Width— Total_„
Other � �j
Signature��
(Licensed Installer) `-
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(Sketch showing all minimum distances and other details required below)
*mit Issued 19 By
�llation Completed, Inspected and Approved 19 By
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PROPERTY OF
NO. ALAN DRIVE SOUTH tillNDSOR , CONN.
Being Lot No, i9 on map entitled "Property of Rolling Park
Homes, Inc. South Windsor, Conn. Scale 1 " = 60' January 10, 1957"
Scale 1" — 40' ,
HAYDEN L. GRI SWOLD C. E.
FOR BUILDING PURPOSES ONLY
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