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Septic New 113 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. r TO THE BUILDING DEPARTMENT: Date. / r A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: Ff6n?e G/ha*I 1. Owner of Property dress of Owne4 2. Location of Property /3 Tv i✓ Lot. No. t 1 3. Type of Structure w e- I nI' No. of Bedrooms (Dwelling,Comm rcial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ 5. Plumbing �ixtures: Water Closets Urinals Lavatories BathtubsShower Kitchen Sinks` Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tanks O 61 Material of Septic Tank C,o l Cl e r �,J 7. Soil Conditions: Type of Soil TY a v e ' Maximum ground water table (Sand, ravel,Clay,etc.) 8. If not served by public water supply: Distance from Owner's well P� 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 4 Z Classification of soil 11. Minimum square feet of effective seepage area required 12. Leaching System: Number of trenches Length Width c , Total Other /.SZ z .3601011 Signature (Licensed Installer (Sketch showing all minimum distances and other details require low) Permit Issued 19 By Installation Completed, Inspected and Approved 19 By s y �'/ 'TF- TO\VN OF JQUTN UI ND5CR o 161, 10 90° �O o LOT 22 C7"21 s2_ 5L, ,_ LOT ZC a Nej 5, ti 2e ty 0 Ytit ' 'tt+ 00 9 { /Q ©o CLINTGN_ GRi'�/E .r PROFS RTY OF NO. CLINTON DRIVE SOUTH WINDSOR, CONN. Being Lot No.21 on map entitled "Map of OAK RIDGE ESTATES Foster St. South Windsor, Conn. Scale : 1 " = 40' Sept. 5, 1963 Hayden L. Griswold Sheet Scale : 1 " 40' HAYDEN L. GRISWOLD C.E.