HomeMy WebLinkAboutSeptic New 75 Clinton Drive TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
4 South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date. X— 19
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A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:C�'�W��(.� /
1. Owner of Property 'T/A.I. Address o/f�Owner, �2 N e
2. Location of Property C `4-WTdAt Z2 Lot. No.
3. Type of Structure P L No. of Bedrooms_
(Dwelling,Comm rcial Building,Store,etc.)
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 7- Material of Septic Tank JC6 n , t't ' Atow)
7. Soil Conditions: Type of Soil O%v N C��V Maximum ground water table
(Sand,Gravel,Clay,eta)
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
11. Minimum square feet of effective seepage area required��/ o
12. Leaching System: Number of trenches Length Width Total a r�
Other
7
Signature �-`
(Licensed in
(Sketch showing all minim-um distances and other details req below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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FOR BUILDING PUKPUSES 0-11
PROPERTY OF
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., NO. Cl!IVTOW 1�R 1 V E SOUTH W I NDSOR, CONK.
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Be i n9 Lot No. 18 on sap entitled "Map► of: OAK RIDGE ESTATES Fsa'staa St.
South Windsor, Conn. Scale: 1" � 40' $rpt.: 5, 1963 Hayden L. Gr 1sw+pl,d �
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