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Septic New 00 Tallwood Drive (4)
A ` 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 1114Y 319 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 ddress of Owner 2. Location of Property Cm� � ��x� Lot. No. 3. Type of Structure (,),4 / XA M_Q _ No. of Bedrooms / (Dwelling,commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ 5. Plumbing Fixtures: Water Closets Urinals Lavatories_ Bathtubs Showers,I Kitchen Sinks—[—Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tank / _3n—� Material of Septic Tank 7. Soil Conditions: Type of Soil Ozii Maximum ground water table (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 Classification of soil 11. Minimum square feet of effective seepage area required J 12. Leaching System: Number of trenches Length 2f Width Total Other Signature (Licensed installer) (Sketch showing all minimum distances and other details required below) Permit Issued 19 By Installation Completed, Inspected and Approved 19 By Nook I ' F o 'Ing On 40 0 536 PROPERTY OF NO. TALLwQOD" DRIVE SOUTH WINDSOR, CONN. Being Lot No. 6 on map entitled "PINE HILL ESTATES Addition No. I Felt Road South Windsor Conn. Scale: 1" ' 4© March 19, 1968 Griswold Engineering Inc. Sheet 1 of 2" Scale i" = 40' Ila4. GRISWOLD ENGI-VEERING INC. _ ����� yam~ �is��s �•, ��'�'r.��� ���.�'n �L�;' ,f�; r4 �