HomeMy WebLinkAboutSeptic New 23 Tallwood Drive M
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date, � 19-6-1
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: n
1. Owner of Property � Address of Owner
2. Location of Propert e Lot. No. sxo
3. Type of Structure- Z).AA" -—ek:..o No. of Bedrooms /
(Dwel-ng,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 lag,50 Material of Septic Tank 2�9 O
, A'
7. Soil Conditions: Type of So' e aiyl�Q� 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
12. Leaching System: Number of trenches Length t5212 Width r Total Ap7 SV
Other
SignatureE�
(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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MOPERTY OF
-
NO. TALLWOOD MR I VE SOUTH W INPS(";, CONN
Reins) Lot No. 20 on ma,,, entitled "PINS" H11-1, FSTATE:S Addition
No. I South Windsor, Conn . Scale I " 40' "larch 10, 108
Griswold Engineering, Inc. "
Scale 1 " - 40' �,`'� 71 7,
>, GR I SWOLD ENGINEERING IN,- .
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