HomeMy WebLinkAboutSeptic New 00 Oakwood Drive (2) 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 S`' 2 TT— 19 G{�—
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 w�^�� re�
2. Location of Property / @ 1. Lot. No.
3. Type of Structure No. of Bedrooms
Dwelling, ommercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets _ Urinals Lavatories-�� Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank (r o`H C` v Q �� o�Y If w
7. Soil Conditions: Type of Soil Maximum ground water table
'TSand,Gravel,Clay,etc.) j� r
8. If not served by public water supply: Distance from Owner's well 1"11 f�'c`C from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
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10. Percolation Tests: Time for 1" drop in soil test/ `Cll�assification of soil
11. Minimum square feet of effective seepage area required Q y
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12. Leaching System: Number of trenches 2, Length G Width 'e Total
Other a/
Signature
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(Licensed InZed
(Sketch showing all minimum distances and other details reqbelow)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PROPERTY OF
NO . OAKWOOD DRIVE SOUTH WINDSOR, CONN .
Being Lot No. 33 on map entitled "Map of VALLEY VIEW FARMS E1lington
Road Youth Windsor, Conn. Property of F.mna Palmer Kenneth Palmer
Scale 1 " = Sol Nov. 1 , 1960 Hayden L. Griswold C .E ."
Scale 1 " = 50
HAYDEN L. GRISWOLD C .E. / !
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