HomeMy WebLinkAboutSeptic New 139 Clinton Drive 1
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 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: /w n bar -
1. Owner of Property t'r jAddresss of Own ..a(
2. Location of Property C ' !3 ��4.! -) IV I Lot. No.�_
3. Type of Structure -t No. of Bedrooms_
(DN ling,Com rcial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 2--- - Urinals Lavatories._ Bathtubs
Showers / Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank f 2 ,f /Material of Septic Tank
7. Soil Conditions: Type of Soil G /Y S' r2� 1 Maximum ground water table
(S nd,Gra el,Clay,etc:)
8. If not served by public water supply: Distance from Owner's wellJ�t i C from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for V drop in soil test 6 Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width Total
Other e c.
Signature
(Licensed In
er
(Sketch showing all minimum distances and other details quired below)
Permit Issued 19 By
Installation Completed, Inspected and Approved c� 19—L!� By
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+ 161.60
LOT 24 4� y'
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A" CC.fr' -rc.N. Dkr,s FOR BUILDIft _
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PROPERTY Of
NO. CLI.OTON DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 23 on map entitled "Map of OAK RIDGE ESTATES Foster ST.
South Windsor, Conn. Scale : t" 40' Sept. 5, 1963 Hayden L. Griswold C.E°
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Scat-a : 1" 40' "YDEN L. GRISWOLD C. .E. `
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