HomeMy WebLinkAboutSeptic New 155 Gray Road {
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`Y TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Instal r Repair Individual Sewage Disposal System
Application No.J 2.1e-4,9-o?--
TO THE BUILDING DEPARTMENT: Date. /0 2k-ea- h a,iL ig �9
A permit is requested for repair or onstructio f an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property°" �^^Nar—k- Address of Owne/r�
2. Location of Property /S� Q-4 r A*o Lot. No.
3. Type of Structure No. of Bedrooms
(Dwelling,Commercial Building,�tOre,etc.)
4. Number of Families or Persons to Occupy Premises— ^/€ e j .9.•s.�y
l
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank L Oek) 5;�04S Material of Septic Tank 0- t.-(cA4 r4r
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 u4"em- from adjacent wells
g. 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 r{//9.5" SY Ar
12. Leaching System: Number of trenche IVO 4S0 Lengthf�2 Width a.-f)irk Total Sots Sqjfr.
Other
Signatur A40,J,
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Licensed IaIle
(Sketch showing all minimum distances and othkr details required below)
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Permit Issued td ZAC-AJIJF2. 19trQ By 2,&
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Installation Completed, Inspected and Approved/& ZEL+EMb,62 —I gh2-_ B,� L.
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BUILDING PUKPOSES ONLY
OF
NO J55t;� SOUTH W I NDSOR, CONN .
Being Lot No. 31 on map entitled "Plan of ORCHARD HLIGHTS Avery
Street, South Windsor, Conn. Scale : I " = 40' May 20, 1165
Hayden L. Griswold C . E. Sheet 3 of 3"
SCALE: 1" _ 40' August 14, 1969
GRISWOLD ENGINEERING, INC .
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F}� Being Lot No. 31 on map entitled "Plan of ORCHARD HEIGHTS Avery
Street, South Windsor, Conn. Scale : 1" = 40' May 20, 1Q65
Hayden L. Griswold C . E. Sheet 3 of 3"
SCALE: 1" 40' August 14, 1964
` GRISWOLD ENGINEERING,. INC.
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�G Post-1V Fax Note 7671 Date pa°yes-
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