HomeMy WebLinkAboutSeptic New 151 Clinton Drive a TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Applicatio No.
TO THE BUILDING DEPARTMENT: Date. -l/c
19 lO
A permit is requested for repair or construction of n individual sewage disposal system concerning which the
following information is submitted: /1fa�re , ne—
1. Owner of Property / Address of Owne _
2. Location of Prop t C / /r S/ t J Lot. No.
3. Type of Structur �1��/�//7 G�
No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets__ Urinals Lavatories t= Bathtubs
Showers_ Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank /02�-0 Material of Septic Tank C c c1
7. Soil Conditions: Type of Soil 0C Maximum
(Sand,Gravel,Clay,etc.)/
ground water table
8. If not served by public water supply: Distance from Owner's we om adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test i7-ltaad_) Classification of soil
11. Minimum square feet of effective seepage area required� 1AK
12. Leaching System: Number of trenches Length ZZ/ Width Total
Other
Signature
(Licensed Ii54�
ns
(Sketch showing all minimum distances and other details requir below)
Permit Issued 19 By
Installation Completed, Inspected and Approved ig By
• n x
• N F ' 4111 a , apt'
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PROPERTY OF
NO . CLINTON DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 24 on map entitled "Map of OAK RIDGE ESTATES Foster St.
South Windsor, Conn. Scale : I" = 40' Sept. 5, 1963 Hayden L. Griswold C.E.
Sheet2
Scale: 1 " = 40' HAYDEN L. GRISWOLD C. E. �,f'C'. ,z •�. �(;