HomeMy WebLinkAboutSeptic New 55 Pond Lane ■
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal �System
Application No.
TO THE BUILDING DEPARTMENT: Date, a 9�� _1 9
A permit is requested for repair or construction of an individual sewage disposal ystem concerning which the
following information is submitted: or le RI HEIr- J
1. Owner of Prope /Address of Owner-0
O'ne)r la l
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2. Location of Prope A/d '1i4 4 gr ��1 lU(10�i A TIV>— ')?I
/I 1 a t' 4A N/�i/TL'*ot. No. 3
3. Type of Structure /!5 V &G ��f E>S' o. of Bedrooms
—� (Dwellftig,.Commercial Buildhig,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
.5. Plumbing Fixtures: Water Closets .3 Urinals Lavatories_ Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 1/0 0 /4�i� Material of Septic Tank �e i+f �c',4/1
7. Soil Conditions: Type of Soil �I/Cl �)-A V1r/Maximum ground water table_ YU Yi A TO--- F /Or
(Sand, ravel,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
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10. Percolation Tests: Time for 1" drop in soil test / /N d IWIAI Classification of soil
11. Minimum square feet of effective seepage area required �-o ") '�9
12. Leaching System: Number of trenches Length Width !!� Total 0 0
Other
Signature
(Li7ebdInstaller)
(Sketch showing all minimum distances and other de required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PROPERTY OF
NO. POND LANE SOUTH WINDSOR, CONN. ,
Being Lot No. 38 on map entitled "BRYAN FARM Wilbur Cross Pkwy.
Manchester b South Windsor, Conn. Property 'of , I. R. Stich Assoc . Inc.
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Scale 1 " 100' March 27, 1961 Hayden L. Griswold C. E. Revised
Aug . 1 , 1963"
Scale 1" 50 ' Ma.Y
HAYDEN L. GRISWOLD C.E.
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