HomeMy WebLinkAboutSeptic New 113 Gordon Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT '
South Windsor, Connecticut 1
Application for Permit to Install or Repair Individual Sewage Disposal System
.Application No. �d��'
TO THE BUILDING DEPARTMENT: Date_ I?— j,Or— 19
A permit is requested for rep it or construction of an individual sewage disposal system concerning which the
following information is s>b itted:
1. Owner of Property Address of Owner
2. Location of Pr a Lot. No. �=
3. Type of Structure No. of Bedrooms
(J)Welling,Commercial Building, re,etc.)
4. Number of Families or Persons to O py Premises_
5. Plumbing Fixtures: Water Closets Urinals. avatories Bathtubs
Showers_ Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan / 4G " Material of Septic Tank Z .
<_-._
7. Soil Conditions: Type of Soil N Maximum ground water table �i► -
(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
11. Minimum square feet of effective seepage area required '�.3
o / , {
12. Leaching System: Number of trenches � Length .� Widt Z / Total
Other
Signature / //-s Uz"-z�'
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
FOR 9 LDiNG PUi3POSES ONLY /V
72.26
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PROPERTY OF
NO . )(IJHN PR I VE SOUTH W I NDSOR, CONN.
Being Lot No. 23 on map entitled "Property of Rolling Park
Homes, Inc . South r4indsor, Conn. Scale 1 " = 60' January 10,
105
/ f
Iit1YDEN L . GI\ I SWOLP C . E .
Post-it®Fax Note 7671 Date pages j
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Co./Dept. V Y( Co.
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PROPERTY OF
NO . �)USAN DRIVE SOUTH WINDSOR, CONN.
Being lot No. 23 on map entitled "Property of Rolling Park
Homes, Inc. South Windsor, Conn. Scale 1 = 60' January 101
105
Scale I " 4C
009
HAYDEN L. GRISWOLD C . E .