HomeMy WebLinkAboutSeptic Repair 75 Tumblebrook Drive TOWN OF SOUTH WI N DSOR Q
BUILDING DEPARTMENT
1tq r,,Al-vl-7 i South Windsor Xonnecticut
Application for Permit to Install 0(11,6paij Individual Sewage Disposal System
Application No._0°S 2 67/-
TO THE BUILDING DEPARTMENT: Date.--2 e-
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 Z 4 R- Address of Owner
2. Location of Property '$ T 114164'r4RC-* Z�217119 s /l,10E19 / P/ j t5 Lot. No. 69
3. Type of Structure DW,-ctirlc No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premise ew
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 12-�O &A i"s A Material of Septic Tank n 6-g e2-E r C
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well A-113L/e= 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 -2.0 m a.-A skrwS Classification of soil
11. Minimum square feet of effective seepage area required""' Fr Aft 4iSmeo,% 1-,97-..g/- cF-k0'6& sy FT
12. Leaching System: Number of trenches SiV �b� Length4jr r Width/ ��S G> Total/036 � jer
Other
Signature
(Licensed ns He
C-��.A�; J� W9-asw4<�3
(Sketch showing all minimum distances and other etails req ow)
Permit Issued J !26 fig 19-71 By, /
Installation Completed, Inspected and Approved a9 �-/F)/mX 19.71 By
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o r r o° FOR BUILDING PURPOSES ONLY
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4 PROPERTY OF
SURVEy��`��`
nnu�in �a�'
NO . TUMBLEBROOK DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 69 on map entitled, "Timber Ridge Homes - Dart Hill
. Rd. £ Ellington Rd. - South Windsor, Conn. - Scale : l 40
Oct. 1968 - Griswold Engineering, Inc. - Sheet 2 of 7". ey
SCALE : 1 " = 40' Date : Z" - S , 1 7 1
GRISWOLD ENGINEERING, INC.
MANCHESTER, CONN.• ;