HomeMy WebLinkAboutSeptic New 00 Wendy Drive (11) 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._ Id 19
A permit is reques id for rep lr or construction of an individual sewage disposal system concerning whi h the
following information is sub i ed:
1. Owner of Property Address of Owner
2. Location of Prope y Lot. No.'s_ .�(5
3. Type of Structure N
IF
o. of Bedrooms
w ing,Commercial Building,Store,etc.)
4. Number of Families or Persons to r) Premises
5. Plumbing Fixtures: Water Closets o?i Urinals Lavatories
Bathtubs
Showers_ Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan /�O Material of Septic Tank
7. Soil Conditions: Type of Soil 0 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 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required .��.✓
12. Leaching System: Number of trenches_ Length ' Width Z O Total
Other ff��
Signature✓��
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
FOR BUILDING PURPOSES NLY
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N WENDY DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 36 on map entitled "Property of Rolling Park
Homes, Inc. South Windsor, Conn. -scale 1" 60' January 10,
1957"
Scales 1 " _ 40,
HAYDEN L. GRISWOLD C.E .