HomeMy WebLinkAboutSeptic New 107 Tallwood Drive 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: 1 b 7 Date . 19-641
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 Proper Lot. No.- _
3. Type of Structure No. of Bedrooms
(DweniirgrIC-onuneffial 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 �l2-�:J r) Material of Septic Tank
7. Soil Conditions: Type of Soil a 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 IClassification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length �O C/ Width X Total
Other
(Licensed Ins er)
(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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YST.c:.�? P1;11r ► TY OF
NO. TALLW004 DRIVE * ;OPTrf
ESP i ng Lot No. I i on mac, ent i t I e d ,' I "''F H I !_L F� I � 1 ':5 ;kdd i t<-i_on__
No . I Felt- Road -'youth Windsor, Conn. Sca I r, . I " 4C' March 10,
196S Griswold Ennineerinci Inc. Sheet 2 cif 2
Scale 1 40' p �y :
I NE E 1 NG NC . 71