HomeMy WebLinkAboutSeptic New 92 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: Date. yP .O� 19-<ak
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: � �, T�csc j
1. Owner of Property - I ddress of Owner,�'��L����!i�3AL��l
2. Location of Propert 91 Jot. No.
3. Type of Structure No. of Bedrooms
(Dwelling, mmercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
�5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs f f
Showers_ Kitchen Sinks ` Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 9_50 Material of Septic Tank
7. Soil Conditions: Type of Soil ",J!)Z S GVY Maximum ground water table
(Sand,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 V drop in soil test Y)n.An Q Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length a Width Total o? y
Other pp
Signat
(Licensed rPnstaIller)
(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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PPOP7RTY Or
TALLWOOD r' i . , rLTTI �'
Being Lot W1 . ,n map entitled IlMlt! H?11 E .-LA R '? ; Idditinn
No. l South ` in,l or, C(:,,nn. aca ie i" 40' M=irch lo.—8
Griswold �n -ineerinE, , Inc .
Scale 1" _ 40' Jul J' 3 , 1968
GRI�3W'A,D ++NGINh:�iT'ING, 1?qc.
WAW, "F.. v (f/.5 J'OGK/j^�.. }r ."'1� ' �'� 's%ye+s /' .r/:; j, 6 ;9 ~
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03/26/2007 MON 10:51 FAX 860 644 7280 South Windsor Town Hall 0001
*** FAX TX REPORT ***
*********************
TRANSMISSION OK
JOB NO. 3269
DESTINATION ADDRESS 98608750428
PSWD/SUBADDRESS
DESTINATION ID Skips Septic
ST. TIME 03/26 10:51
USAGE T 00, 18
PGS. 1
RESULT OK
1
1
f A
/14
4 :
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