HomeMy WebLinkAboutSeptic New 00 Wendy Drive (8) 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. -' 2- -- �?— 2— �-
19
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 / Address of Owner [ o
1 2. Location of Property aLei..l /A21C Lot. No._ `�5
3. Type of Structure '�- No. of Bedrooms_(Dwelling,Comm==:��
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets -�2— Urinals Lavatories Bathtubs
Showers_ Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Ci 0 Material of Septic Tank Cam=
7. Soil Conditions: Type of Soil Maximum ground water table / J
( and,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 Classification of soil
11. Minimum square feet of effective seepage area required ,:E 2 J
12. Leaching System: Number of trenches 3 Length f �' Width_ j�Z Total j
Other v 01G 00, Z L 2 3 O
Signature ��^-� y�
:ELr
censed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
Al
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f i f
i
('ROPE1,jY OF
NO . t1ENDY DRIVE OOUTH I NDSOR, CONN .
Being Lot No . 33 on map entitled 'Tap of POLLING PARK Section
Cr i ff i n F- ',1 i ndsory i I I e roads South '.4 i ndsor Conn. Sca I e I " = 40'
Apr-. 15, 1964 Revised June 4, 1965 Hayden L. Griswold
Scale I " _ 4C
H;MEN L. GRL��JOLD C. E .