HomeMy WebLinkAboutSeptic New 34 Wendy Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System 10
Application No.
TO THE BUILDING DEPARTMENT: Date. - `Z / 19�
e A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is sub fitted:
1. Owner of Property Address of Owner
2. Location of roperty cu.,i /A2K Lot. No. 3 `'r
3. Type of Structure No. of Bedrooms
(D elling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets �— Urinals Lavatories 2— Bathtubs _
Showers_ Kitchen Sinks / Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan v v Material of Septic Tank �/�-✓`�2
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 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- , Af-�%�- Classification of soil
11. Minimum square feet of effective seepage area required J
r SI
12. Leaching System: Number of trenches�� Length 3� Width d`2 Total .3�D
Other
Signature
(Licensed Installer)
(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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PROPERTY OF
NO . WENDY Dli I VE SOUTH WI NDSOR , CONN.
Eeing Lot No . 34 on mat, entitled "Map bf ROLLING PARK Section 1 �
3.
Griffin F, Windsorville Roads South Windsor, Conn. Scale _ J " = 40'
Apr . 15, 1964 Revised June 4, I065 Hayden L. Griewold C.E.
HAYDEN L. GRISWOLD C . E .