HomeMy WebLinkAboutSeptic New 101 Gordon Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT ��
South Windsor, Connecticut 7 1
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date—_( ) — :�7- 2--- 19 t
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is sub 'tted:
1. Owner of Propert Address of Owner
2. Location of Property ot. No. .T
3. Type of Structure ran ti U7 Z No. of Bedrooms
(Dwelling,Commercial Building,S
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 d 6 0 Material of Septic Tank F,&
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 Classification of soil
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11. Minimum square feet of effective seepage area required) CZ:
12. Leaching System: Number of trenches Length / �d Width-2 !/1- Total 3
Other 11.Y
Signature - —,",el. Te
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed,Inspected and Approved lg By
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n 'FT I'F^TY OF
NO . ALAN nR I VE JOI_IT , t;I �.'�;,Oi`, CONN .
Being Lot No. 24 on map entitled "Pap oP IRCI-I 1 "T PAI;K Section 11
Lots 1 2-31 Griffin f W i ndsory i l l e loads youth '.+ i n• sor, .onn.
Scale : I " = 40' ipr . 15, 1064 hevisect June 4, 1065 Hayden L .
Griswold C. E."
Scale I" = Q.0' CSC'
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HAYDEN L.