HomeMy WebLinkAboutSeptic New 00 Tallwood Drive (6) 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 19�
A permit is requested for repair or construction of an individual sews disposal system concerning which the
following information is submitted:
1. Owner of Property Address of Owner—; � C �
2. Location of Property T T�+ <-.ac�,D zwl 1 t) `Lot. No.
3. Type of Structure No. of Bedrooms
(Dw ing,Commercial 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 y/ �4z) Material of Septic Tank e4
7. Soil Conditions: Type of Soil Maximum ground water table
and,Gr ve, ,e a
8._ If not served by public water supply: Distance from Owner's well from adjacent wells
9.1 Distance to nearest water course, drainage ditch, storm drain or embankment
10.1, Percolation Tests: Time for 1" drop in soil test ,/� � Classification of soil
11. Minimum square feet of effective seepage area required .
12. Leaching System: Number of trenches Length Width ���. Total
Other
Signature
(Licensed Install
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By
INNS AMP FOR MORTGAGE PURPOSES ONLY
/C/Tf kv.S <l
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NO . TALLWOOD PPIV c11Tl1 ',,R :.��► , ,:� .
Being Lot No . 4 on Ana;, entit ! —1 "PINE HILL E: AT' ;\dJit: i (}n
No. I Felt fiaad SoO h Windsor, Conn . Scale : I " '0' March 10,
(nfiR Griswold Encrin(-c!ring, Inc . Sheet I of ?"
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