HomeMy WebLinkAboutSeptic New 36 Gray Road 4 'r
SEE p, ID TOWN OF SOUTH WI N DSOR
m3 /6 o BUILDING DEPARTMENT ��'�s.A"r
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. Oq t 0*1 O^ y
TO THE BUILDING DEPARTMENT: Date m o S E'A Tf�.ah 49- 19 '� A
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 I L%LO AFr ��hhAddress of Owner
2. Location of Property 34 4AN R 0Ae 0AC NAA0. Mrs Lot. No. b.Z
3. Type of Structure No. of Bedrooms 3
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises aNi gs5 jrAMI,Ly
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank l 000 4rA L&a d Material of Septic Tank C&NC245'775'
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 PtAb61G 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/i M1w/4AT4P5 Classification of soil
11. Minimum square feet of effective seepage area required•U 4 Pr -60* Bad AOO,y T AA. -am G 7 2 sq cr.
12. Leaching System: Number of trenches KIVE Length A 87 FT Width.Z•C FT Total 717, 5"4e2 G'r
Other
Signature C
(Lice I I Installer
ae %,r►, bl Cwa— $�d sue)
(Sketch showing all minimum distances and otter details required below)
'S'E54' wrrrRCH--D Fe2 &iLETd+{_
Permit Issued /C 1970 By �' �metQ ,,
Installation Completed, Inspected and Approved 04 00 t-®�41F 19
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TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . . . . . . . . . . . . . . . . . . . . . . . .
The Sanitary Sewer . . . . . . . . Septic System . . . . . . . . . .
at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
or lot #. . . . . . . . . . . . . . . has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted and Approved
By -- — - — Date — - - -
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FOR NINJNNG PUR?M ONLY
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No. GRAY ROAD SOUTH WI JDSOR, CT.
Being Lot No . U2 on Map entitled •'Flan of Orchard Heights,
Avery Street, South Windsor, Oonnec,tiiut - Scale : 1 " = 1�01
May 20, 1965 - Hayden L. Griswold, C .E.
Sheet 2 of 3 . "
Scale 1" = 40t