HomeMy WebLinkAbout1965-12-22 - 101 Gordon Drive - Septic ApplicationTOWN OF SOUTH WI N DSOR \
BUILDING DEPARTMENT 1�1
South Windsor, Connecticut 1
Application for Permit to Install or Repair Individual Sewage Disposal System ` ,
Application No. / 0 }
TO THE BUILDING DEPARTMENT: Date ) - — 7— 19 C ` J
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is sub4tted. n l
1. Owner of Property.
2. Location of Property.
3. Type of
r
4. Number of Families or Persons to Occupy Premises I1
5. Plumbing Water Closets
Urinals Lavatories 2
Bathtubs--�—
Fixtures:
Showers F Kitchen Sinks
Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank
d �� �' Material of Septic Tank
/
7. Soil Conditions: Type of Soil
Maximum ground water table
J
( 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
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11. Minimum square feet of effective seepage area requiredii'
1
12. Leaching System: Number of trenches_ -? Length / Width 2 Z- Total 3 ,
Other
Signature '-)f li •-�' �c�r, r � 7,`i.
(Mcensed Installer )
(Sketch showing all minimum distances and other details required below)
SCA11�FO
Permit
9 By
Installation Completed, Inspected and Approved 19 By
/ 214-
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15 4
Q' PROPERTY OF
NO. ALAN DRIVE SOUTH WINDSOP, CONN.
Being Lot No. 24 on map entitled "Map of ROLLING PARK Section II
Lots 12-31 Griffin f, 4lindsorville Roads South Windsor, Conn.
Sale: If" m 40` Apr. 15, IQ64 Revised June 4, 1965 Hayden L.
Griswold C.E."
Seale I" = 40. �GT, .� O�
HAYDEN L. GRISWOLD C.E.
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