HomeMy WebLinkAboutSeptic New 8 Gray Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to nst I r Repair Individual Sewage Disposal System
Application No./Z/0 ion. /
TO THE BUILDING DEPARTMENT: Date t0-J le*arm,6 4*9, 1969
A permit is requested for repair or nstruction f an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property X / Address of Owneerr
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2. Location of Property AAy A.42) e)ACMA24 ffF/rmrs Lot. No. a2w*
3. Type of Structure -arE A-,Llrj!� No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ 6,44iF
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank / ptvJ "cW Material of Septic Tank C V,1e-A 4Fr"
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 Aeldi-tle- 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 & thtplaTFS Classification of soil
11. Minimum square feet of effective seepage area required SW -So eGT
12. Leaching System: Number of trenches-rMA0E La) LengtH'f/t Dwc Width A. ta'T TotalS�m Af
Other
Signature
Licensed InstalJ�rr) 4— OX?
(Sketch showing all minimum distances and at E a ni s required below)
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Permit Issued 19 � By 9� 1&4!��
Installation Completed, Inspected and Approved L G► m6e,& 19 6� c�u.1�
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PROPERTY OF
NO . ROAD SOUTH WINDSOR, CONN,
Berg Lot NO, Z on map entitled "Ptakn of ORCHARD HEIGHTS
Avery Street - South Windsor, Connecticut Seaga: 1" 40'
May 20, 1965 Hayden L. Griswold C. E ." Sheet I of 3
Scale 1 " 40' r
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HAYDEN L . GRISWOLD ^, . E .
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