HomeMy WebLinkAboutSeptic New 00 Pond Lane TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal Syste/7m
Application No. , -2
TO THE BUILDING DEPARTMENT: Date.4 A4 V .7 9 19
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 -O q d EN 4 s S I,V b/41Address of Owner. 11 4414/ ��r ke—,:V
2. Location of Property d e',.4NC i'/A F_f 50W E Je MA&-e4('�,►Lot. No.
3. Type of Structure AD U/e M/Y J No. of Bedrooms_
T (Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 3 Urinals Lavatories 3 Bathtubs /
Showers_1__ Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 9 0)� �XZ Material of Septic Tank � O ti �rArl,g
7. Soil Conditions: Type of Soil %t (;)-A✓/l Maximum ground water table_ 4> 4 46�,
(Band,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 1&,,S /K/IV Classification of soil
11. Minimum square feet of effective seepage area required _ -3 7 15^
12. Leaching System: Number of trenches C7 Length -Vf� Widths Total
Other •�' /6/
Signature r/
(Licens Installer)
(Sketch showing all minimum distances and other detai s required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
/rL5
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N 1 r
PROPERTY OF
NO. POND LANE SOUTH WINDSOR, CONN .
Being Lot No. 26 on map entitled "BRYAN FARM Wilbur Cross Pkwy.
Manchester South Windsor, Conn. Property of I. R. Stich Assoc . Inc.
Scale V = 100 ' March 271, 1961 Hayden L. Griswold C .E. Revised
Aug. 1 , 1963"
Scale 1 " = 50 '
HAYDEN L. GRISWOLD C .E.