HomeMy WebLinkAboutSeptic New 100 Clinton Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. f
TO THE BUILDING DEPARTMENT: Date. O`"— �2 19 l!/
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: Jd -hon4Y hPy
1. Owner of Property Address of Owner
2. Location of Prope t Z66 l C.IWrO IbA�9nG S Lot. No.
3. Type of Structure z No. of Bedrooms
(Dwdlling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatoriesy�_ Bathtubs_
Showers Kitchen Sinks` Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank f c7 `S 0 /1 Material of Septic Tanker C
7. Soil Conditions: Type of Soil be 'f" Cs Maximum ground water table
(Sand,Gravel,Clay,etc.) 1
8. If not served by public water supply: Distance from Owner's well?
ell lJ /C Irom adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test 61t-74-) Classification of soil
11. Minimum square feet of effective seepage area required A rneI&4�7
12. Leaching System: Number of trenches_ Length d Width Total
Other
Signatu4��
(L cense Installe
(Sketch showing all minimum distances and other details requ' d below)
°ermit Issued 19 By
Illation Completed, Inspected and Approved 19 By
f4• S�r`G'��t y 1�, i� 2;?� "���.:��'��s 7 ���'�i'y'W a
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Q�,, \ 60T 34- LOT 35
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PROPERTY OF FOR BUILDING PURPOSES ONLY
NO . CLINTON DRIVE SOUTH WINDSOR , CONN.
Being Lot No. 34 on map entitled "Map of OAK RIDGE ESTATES
Foster St. South Windsor, Conn. Scale : I " - 40' Sept. 5, 1965
Hayden L. Griswold C.E. Sheet 3
Scale 1" 40' Dec z3,19(0,5
HAYDEN L. GR I SWOLD C. E.
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