HomeMy WebLinkAboutSeptic New 69 High Ridge Road TOWN OF SOUTH WINDSOR
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 dispo system concerning which the
following information is submitted: ,� 44.u, key
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1. Owner of Property ddress of Owner
2. Location of Property � Lot. No.
3. Type of Structure , n , �S ,
(Dwelling, ommercial BNo. of Bedrooms._,_
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 3 Urinals Lavatories_.2 Bathtubs f
Showers_ Kitchen Sinks. ` Laundry Tubs__ Garbage Grinder Other
6. Liquid Capacity of Septic Tank ,:�2- (j O�� aterial of Septic Tank_I -
7. Soil Conditions: Type of Soil L:Er Maximum ground water table
(band,G el,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well from adjacent wells, rd(-
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 O-- Total Vf 2,
Other
Signature
(Licensed Installer)
(Sketch showing all minimum distances and o her details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
To w1v of SOUTH V111Vb s-oR
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PROPERTY OF
NO. HIGH RIDGE ROAD SOUTH WINDSOR , CONN.
Being Lot No. IS on map entitled "Plan of ORCHARD HEIGHTS Avery
Street South Windsor, Connecticut Scale : 1 " = 40' May 20, IQ65
Hayden L. Griswold C.E . Sheet I of 3"
Scale 40'
GRISWOLD ENGINEERING INC .