HomeMy WebLinkAboutSeptic New 99 Clinton Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut a
Application for Permit to Install or Repair Individual Sewage Disposal System 7��
Application No.-----
TO TO THE BUILDING DEPARTMENT: Date /' 7 19
—Z,/-rl
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is su m'tted: 1i I' A
1. Owner of Property4'�4� Address of 01
.F
2. Location of Prop / �L �/2 I1 Lot. No.�_
3. Type of Structure / ef 2 No. of Bedrooms
( elling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets , ? Urinals Lavatories 1-1� Bathtubs
Showers_ Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Avg Materi`al of Septic Tank
7. Soil Conditions: Type of So is� Q/7aly, f�f✓e/ Maximum ground water table
(Rand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well /iC..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 V/ 1ZG-VG-' Classification of soil
11. Minimum square feet of effective seepage area required '
12. Leaching System: Number of trenches Length Width Total
Other 05;i 4 1 471
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details requir ow)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
tit 3 � a n 4 e w
vp
.. 1
¢. _ kip, {a - i
VIM—
o r :,
i O
LQT Z r L OT/r2t?' r O LOT !9
J, o
rb
e
5
.a .
q0
kv
l..L lNTON DR�V GR/S�oTC'��
POSES ONA 536
PROPERTY OF
Sm�R �o�����°��
NO. CLINTON DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 20 on map entitled "Map of OAK RIDGE ESTATES Foster St.
South Windsor, Conn. Scale : 1" s 40' Sept. 5, 1963 Hayden L. Griswold C.E.
Sheet 3
Scale: 1" 40' HAYDEN L. GRISWOLD C. E.