HomeMy WebLinkAboutSeptic New 00 Wendy Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application Noc_ �1`
TO THE BUILDING DEPARTMENT: Date. �l / 19
A permit is requesx d for rep it or construction of an individual sewage disposal system concerning which the
following information is sub4ii ed:
1. Owner of Property Address of Owner
2. Location of Prope y Lot. No.
r
3. Type of Structure ing,commercial Building,store,etc.)
No. of Bedrooms
*,
4. Number of Families or Persons to Occ(W Premises
5. Plumbing Fixtures: Water Closets Urinals avatories_ Z Bathtubs /
Showers __ Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 14fV _Material of Septic Tank1hgr,�
7. Soil Conditions: Ty
pe of Soil _Maximum ground water table :� -.ztsc.Q._„
(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
c
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 y _ Length Width z Total��..
Other
Signature ��;a T�--�
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
w �
i A
R/BLDI
NG PURPOSES ONLY 'SZ
/<4S, 76? n
6 C#7
o
° o
N
N A, G Q�
w
PROPERTY OF
�f'QJ�j�s '�l•;�ti�
0.
WENDY DRIVE SOUTH WINDSOR, CONN
Being Lot No. 46 on map entitled "Property of Rolling Park Homes,
Inc. South Windsor, Conn. Scale I " = 60' January 10, 1057"
Scale 1" = 40' Alf4"
' HAYDEN L. GRISWOLD C . E .