HomeMy WebLinkAboutSeptic New 128 Clinton Drive TOWN OF SOUTH .WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal S t
Application No.
TO THE BUILDING DEPARTMENT: Date / 2 19 �
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: �4enrl D4/1no
1. Owner of Property A ess o Owner
Z ,
2. Location of Property 8 Lt o,J �2 a.
Lot. No. (
3. Type of Structure `J
(Dwelling, mercial Bu ding,Sto e,etc.) No. of Bedrooms
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 C�t7 L JV,-- g
7. Soil Conditions: Type of Soil_ -e— Maximum ground water table
(S d,Gravel,Clay,etc.)
8. If not served b e
y 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 lassification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width. �
Total
Other 2"a ° i G 0
Signatur
(Licensed Installer)
(Sketch showing all minimum distances and other details require below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
-IVAti 41If ty
L07 36 ` . ., . LOT 37" » LOT'3
50- p
110 \C
Lo
ly
d" PROPERTY OF
NO. CLINTON DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 32 on map entitled "Map of OAK RIDGE ESTATES
Foster St. South Windsor, Conn. Scale: 1 " -- 40' Sept. 5, 1965
Hayden L. Griswold C. E. Sheet 2"
Scale 1 " = 40' �C�T S f "Po
HAYDEN L. GRISWOLD C. E.