HomeMy WebLinkAbout1967-8-18 - 20 Gordon Drive - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System ,
Application No.
TO THE BUILDING DEPARTMENT: Date_
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
2. Location of Property r' iLot. No:-
3. Type of Structure rt.r j No. of Bedrooms
welling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises ,:--�
5. Plumbing Fixtures: Water Closets Urinals Lavatories c�- Bathtubs f
i �
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Xe, 0 CJ = Material of Septic Tank
f-
7. Soil Conditions: Type of Soil 1. Maximum ground water table
(Sand, GrAvel, Clay, etc.)
8. If not served by public water supply: Distance from Owner's well,-'-Afrom adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test �JJ��� - Classification of soil
11. Minimum square feet of effective seepage area required � , ,
12. Leaching System: Number of trenches Length_ x Width_ Total
Other
Signature
( Idcensed Instaner)
(Sketch showing all minimum distances and other details required below)
Permit Issued
.19 By
Installation Completed, Inspected and Approved -_ -10- By
FOR BUILDING PURPOSES ONLY
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PROPERTY OF
NO. SUSAN DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 12 on map entitled "Property of Rolling Park
Homes, Inc. South Windsor, Conn. Scale I" s 60' January 10,
1957„
Scale I" = 40' A/ 7PC /� , ✓�
HAYDEN L. GRISWOLD C.E.