HomeMy WebLinkAboutSeptic New 125 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.
TO THE BUILDING DEPARTMENT: Date. ��4� 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 Y J1X40L1,4JrvAJ
dress of Owner 1e� �'
2. Location of Property � r ` �1✓ Lot. No. 22
3. Type of Structure j N No. of Bedrooms
(Dwelling,C minereial 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 / / Material of Septic Tank vl G f- _ i V i w
7. Soil Conditions: Type of Soil Q I a v-e " J Maximum ground water table
(Sand,Gravel,Clay,etc.)
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 ,Z 7 (Classification of soil
11.. Minimum square feet of effective seepage area required 'Es S
12. Leaching System umber of trenches Length 3:7 Width Total
Other G G d
Signatur
(Licensed Instaijer) Of
(Sketch showing all minimum distances and other details requ below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 4 By,
ToWN OF
1 FOR BUILDING PURPOSES ONLY
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PROPERTY OF
NO. CLINTON DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 22 on map entitled "Map of OAK RIDGE ESTATES Foster St
South Windsor , Conn. Scale : I " = 40' Sept. $, 1963 Hayden L. Griswold C.E;
Sheet
,
Scale : 1 " = 40' HAYDEN L. OR ISWOLD C . E.
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