HomeMy WebLinkAboutSeptic New 17 Greenwood 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 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 Owner-\ 1
2. Location of Property �' L
ot. No.
3. Type of Structure G`J C,AQ No. of Bedrooms
(Dwelling,commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets �2= _ Urinals Lavatories_ Bathtubs_
Showers_ Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank ,/E- .5-J7 Material of Septic Tank (D /�?
7. Soil Conditions: Type of Soil—AlY(AD r- Maximum ground water table
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
12. Leaching System: Number of trenches Length Width c y _ Total A;?.5�
Other
Signat=6:!: �� �-e
(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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PROPERTY OF
NO. GREEN WOOD DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 19 or map entitled "PINE HILL ESTATES Addition
No. I Felt Road South Windsor, Conn. Scale : . l " = 40' March 19,
1968 Griswold Engineering Inc. Sheet 1 of 2"
Scc l e t" _ 40' ��� ��- i t s t 91�
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GR I SWOLD ENG I MEER I NG INC .
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