HomeMy WebLinkAboutSeptic New 57 High Ridge Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. /oja—
TO THE BUILDING DEPARTMENT: Date A 19 �g'
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: 611
1. Owner of Property — Address of Owner a -�er ��
2. Location of Propert ?r -e ' 9+g Ri A41 4,4jpt Lot. No. V _
3. Type of Structure "e No. of Bedrooms 12
— (Dwelling,commercy
Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closet Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank zU Material of Septic Tank
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 from adjacent wells
9. Distance to nearest water course, drainage ditch, storm dmajin or embankment
10. Percolation Tests: Time for 1" drop in soil test 7 Classificati n of soil
11. Minimum square feet of effective seepage area required S
12. Leaching System: Number of trenches Length Widt
Total �Q
Other C s 3 ' ��a .,47
Signature � v—
(LicensedIn r)
(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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P("OPEiJY OF
NO. HIGH F' i rt;k POAP SOUTH W I NP Ofi, CONN.
Being Lot No. 10 on map entitled "Plan of Oku'HARI) HEIGHTS Avery
Street - South W i nilsor, Connecticut Scale : I " — 4C ' May 2C, 1965
Hayden L. Griswold C. E. Sheet 2 of 3"
Scale I " s 40'
HAYDEN L. GR ! SWOLI) C. E.