HomeMy WebLinkAbout1966-12 - 104 Gordon Drive - Septic ApplicationTOWN 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 - 1
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: �/
G 1. Owner of Property : �z. F } - 4Iy.� LA ,, Address of Owner
2. Location of Property r�'iri* d[c r K Lot. No. ;2- a
3. Type of Structure In� =;v-� No. of Bedrooms, -'
(Awelling. Qgmmerciaa HuildhV. Store, ete. )
4. Number of Families or Persons to Occupy Premises
5. Plumbing Fixtures: Water Closets ? Urinals Lavatories Bathtubs_
Showers_ Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 1 a D v Material of Septic Tank le
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--, I t�-t _Classification of soil
11. Minimum square feet of effective seepage area required Length Width Total 7
+'~' z -7r 12. Leaching System: Number of trenches g
Other
P
(Sketch showing all minimum distances and other details required below)
Permit JssLicd 19. By.T _
Installation Completed, Inspected and Approved
By
1<1; 71ril/
n/�- ). tt_ 7 S#.e-P4 RFD
PROPERTY OF
40 92-
NO. A LAN DRIVE SOUTH W I NDSOR, CONN
Being Lot No. 20 on map entitled "Property of Rolling Perk Homes,
Inc. South Windsor, Conn. Scale I" - 60' January 10, 1957"
Scale I" - 40'
HAYDEN L. GRI SWOLD C.E.
FOR BUILDING PURPOSES ONLY