HomeMy WebLinkAbout1969-12-10 - 140 Gray Road - Septic Application-7d-2J
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. jAiel CQ- 3
TO THE BUILDING DEPARTMENT: Date ��' �tFeG�fl��2 19.. —
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 Owne
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2. Location of Property
3. Type of
4. Number of Families or Persons to Occupy
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_Lot, No. 3
o. of Bedrooms_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity -of Septic -Tank -J— 4,44Material of Septic -Tank Dori C. I C�nnF - - - - —
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 �ai �_ _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 k0 _411#4/ -17"4'5 Classification of soil_ _
11. Minimum square feet of effective seepage area required lte? : T FT.
12. Leaching System: Number of trenches . — Length Width,2a S rOrr i Total_
Other %— �.
Signature
a [ I.icenaed all )
o or,.y W9. 3 3e "*46
(Sketch showing all minimum distances and othietaiE ds required below)
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Permit Issued LG 19&9 By
Installation Completed, Inspected and Approved IF0 19 7
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190 Fr PtAL D.10�
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PROPERTY OF
IFOR BUILDING PURVUSES ONLY
NO. MEADOW LANE SOUTH WINDSOR, CONN.
Being Lot No. 34 on,map entitled "Plan of ORCHARD HEIGHTS Avery
Street, South Windsor, Conn. Scale: I" = 40' May 20, 1065
Hayden L. Griswold C.E." Sheet 3 of 3"
SALE: I" = 40' August 14, 1969
GRISWOLD ENGINEERING, INC.