HomeMy WebLinkAboutSeptic New 104 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 --Z 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 Ow,nneer�
2. Location of Property Qi�P e4ci /.�k Lot. No.
3. Type of Structure (0" -
No. of Bedrooms
(Dwelling,C mmercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ /
5. Plumbing Fixtures: Water Closets 2 Urinals Lavatories %Z Bathtubs_
Showers_ Kitchen Sinks _` Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank C) U d _Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table �o�—r
(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 Z. �!141 Classification of soil
11. Minimum square feet of effective seepage area required J
12. Leaching System: Number of trenches 3 Length Widt Total 37
Other
Signature�_:� / /✓
(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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NO. ALAN DRIVE SOUTH WINDSOR, CONN
Being Lot No. 20 on map entitled "Property of Rolling Park Homes,
Inc. South Windsor, Conn. Scale 1 " 60' January 10, 1957"
Scale 1 " 40'
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HAYPEN L. GPISWOLD C. E.
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_; FOR BUILDING PURPOSES ONLY