HomeMy WebLinkAboutSeptic New 85 High Ridge Road i TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
i South Windsor, Connecticut
Application for Permit to Install or Repair
epa Individual Sewage Disposal. System
Application No.
TO THE BUILDING DEPARTMENT: Date 1-D 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: j„Q Dla�
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1. Owner of Property 2Y 0Address of Owner
2. Location of Property r Lot. No.
3. Type of Structure r
( welling,Commerci Building,Store, No. of Bedrooms
4. Number of Families or Per4ons to Occupy Premises_ �^
5. Plumbing Fixtures: Water Closets .. Urinals Lavatories ;2- Bathtubs
Showers_ Kitchen Sinks Laundry Tubs Garbage Grinder ,,++ Other
6. Liquid Capacity of Septic Tank O O O Material of Septic Tank eo- . -tl-✓�)
7. Soil Conditions: Type of Soil_ -ftf o 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 /2 Pi me. Classification of soil
11. Minimum square feet of effective seepage area required 5'7o — t o ` lrD0¢cn,"
12. Leaching System: Number of trenches Length Width a. Total_11111NA.Z-57
Other
llndia to 7-"'YIFTN,o,- p,/fs iNsiDg -A,1,6 ov tar ,e 1_ Signature
7-0-Iph9 La r t~z 44od- (Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19,41 9 By
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PROPERTY OF
NO. HIGH RIDGE ROAD SOUTH WINDSOR, CONN.
tieing Lot No. 17 on map entitled "Plan of ORCHARD HEIGHTS Avery
Street - South Windsor, Connecticut Scale : 1" — 40 ' May, 20 , 1965
Hayden L. Griswold C .E. 'Sheet 1 of 3"
Scale 1" = 40 JYPTJCpaermT sag, .Z/ . 6�
GR ISWO LD RNG I NEER NG N
Pie, 7ns•4 I INC.
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Ate; PtpL A?�+IV /1e5"S2-
t /2•re«/ = l�a sq �r�i6YD,e�c7�l ,
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