HomeMy WebLinkAbout1967-8-18 - 113 Gordon Drive - Septic ApplicationTOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT J�
South Windsor, Connecticut l
Application for Permit to Install or Repair Individual Sewage Disposal System ;
Application No.��
TO THE BUILDING DEPARTMENT: Date � �-
_ 19�_
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted.
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1. Owner of Property Address of Owner
2. Location of Pr� ;;;;,2 Lot. No.
3. Type of Structure �- -_ e-._•r._f y, No. of Bedrooms
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elling. Commercial Building, Store, etc.)
4. Number of Families or Persons to OdePremises` ">z
5. Plumbing Fixtures: Water Closets___,,,!-? Urinals . avatories_ __ Bathtubs_
Showers_ Kitchen Sinks / Laundry Tubs Garbage Grinder Other_
6. Liquid Capacity of Septic Tank "-"70te Material of Septic-
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 �ir�Z�, Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length '= Width Total
Other
(LAcensed Installer)
(Sketch showing all minimum distances and other details required below)
SCA A1NSQ
Permit Issued 19 By
Installation Completed, Inspected and Approved _ _ _ 19 By
FOR;"RUILDING PURPOSES ONLY Al
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PROPERTY OF
NO. )(ISAN IV I VE SOUTH W I NDSOR, CONN.
Being Lot No. 23 on map entitled "Property of Rolling Park
Homes, Inc. South `v4indsor, Conn. Scale 1" = 60' January 10,
105!
Scale I" = 4C' ✓ �/� ..� �., .G� ff `''
HAYDEN L. GkISWOU) C.E.
Date 1401 6
Post -its Fax Note
7671 pages
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fuh. BUILDING PuRpm N
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I'IOhEI:TY OF
NC . SIIStAN I)R I VC SOLITH W I W OR, CONN.
Being lot No. 23 on map entitled "property of Rolling Park
Homes, Inc. :south 4indsor, Conn. Scale 1" = 00' January 10,
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Scale I
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HAYPEN L. GIB ISWOLD C.E,