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HomeMy WebLinkAboutSeptic New 140 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. ICJ TO THE BUILDING DEPARTMENT: Date I Z -3 A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: 1. Owner of Propert ss Owner 2. Location of Properti40 CLIA)TotJ A Lot. No. 3. Type of Structure W C- ijetc.) No. of Bedrooms_ (Dwelling,Commerc Bundi ,Store, 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 © h C C @ r a 7. Soil Conditions: Type of Soil r? v Maximum ground water table (Sa d,Gravel,Clay,etc.) 8. If not served by public water supply: Distance from Owner's well C 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 G Classification of soil 11. Minimum square feet of effective seepage area required 12. Leaching System: Number of trenches Length �.�® Width C) �( Total ` J-- 7 Other 13 /SU ' L�i/ 7 or r Signature (Licensed Installer) (Sketch showing all minimum distances and other details required low) Permit Issued 19 By Installation Completed, Inspected and Approved 19 By 900 1T0,00 �° 9 LOT 32 se .-07 31 L.OT ?0 clkn oid I4 eed Z\1 -----��— - - 50 f BL n Q `9 - 9a G°i7a.aa C0 Nlv, 3' Az PROPERTY OF SI.Rv�yO NO. CLINTON DRIVE SOUTH WINDSOR, CONN. Being Lot No. 31 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 2 " HAYDEN L. GRISWOLD C. E. { k