HomeMy WebLinkAboutSeptic New 78 Greenwood Drive r
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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. �/=®.�J �3 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: / �G
1. Owner of Property Gf �Y- _�__T Address of
2. Location of Proper Lot. No.
3. Type of Structure No. of Bedrooms
welling,Com rcial Building.Store,etc.)
4. Number of Families or Persons to Occupy Premises_.
5. Plumbing Fixtures: Water Closets *4 Urinals Lavatories c52- Bathtubs_
Showers / Kitchen Sinks 1 Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank l/P ,5-V Material of Septic Tank_
7. Soil Conditions: Type of Soil !/1 _Maximum ground water table
( and,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 aZ f�;L- Total
Other
Signature
(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
N ". GREEN WOOD DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 18 on map entitled "PINE HILL ESTATES Addition
No. I Felt Road South Windsor, Conn. Scale : 1 " 40' March 19,
1968 Griswold Engineering Inc. Sheet t of 2"
Scale 1" 40' ��► �.�' �t ty�45
GRISWOLD ENGINEERING INC.
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PROPERTY OF
NO GREEN WOOD DRIVE SOUTH WINDSOR* CONN.
Being Lot No. 18 on map entitled "PINE HILL ESTATES Addition
No. I Felt Road South Windsor, Conn. Scale: 1" 40' March 19,
1968 Griswold Engineering Inc. Sheet I of 2"
Scale 1" = 40' >�►�. _�, �, �y�4
GRISWOLD ENGINEERING INC.
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