HomeMy WebLinkAboutSeptic New 00 Tallwood Drive 61
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Applicatio No.
TO THE BUILDING DEPARTMENT: Date 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 _ Address of Owner_
2. Location of Property LA1.&wu01�L7=j.,ot. No. J
p L
3. Type of Structure ( 6L-�-P 'i" D e la g,Commercial Building,store,etc.> No. of Bedrooms
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 /c2 5 71 Material of Septic Tank /lam
7. Soil Conditions: Type of Soil .P x-d.Onr.oAt , Maximum ground water table
(Sand,QMvel,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 lrLl Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length ��� Width o2 Total 1,�- 3z
Other
Signature 'C —z
(licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PROPERTY OF
NO. TALLWOOD DRIVE SOUTH WI Nb� R,;,; CNN.
Being Lot No. on map entitled "PINE HILL ESTATES Addition
No. I Felt Road South Windsor, Conn. Scale : 1” = 40' March 19,
1968 Griswof-d Lngineering Inc. Sheet of 2"
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GRISWOLD ENGINEERING INC .