HomeMy WebLinkAboutSeptic New 154 Clinton Drive i
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. �O
TO THE BUILDING DEPARTMENT: Date .j 19 ., j
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: Marl n �ISQh dePcl
1. Owner of Property
p y Address of Owner��
2. Location of PropertA$+CL y,J•.Z2 - t; Lot. No. _
3. Type of Structure ' *- f 4 No. of Bedrooms
(Dwelling,40Mznercial Building,Stole,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 v j� C • _ c #"f y w .,
7. Soil Conditions: Type of Soi 'e 1-Maximum ground water table f
(Sax�d,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well f i 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!w„r,'Classification of soil
11. Minimum square feet of effective seepage area required X LJ 0 }
12. Leaching System: Number of trenches Length Width _Si' t Total a r•/
y'��/ 2/�.. 5'�/�
Other
Signature'
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
407 M r ' L-CT `59 i_nT 40
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y PROPERTY OF
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NO. CLINTON DRIVE SOUTH WINDSOR, CONN .
Being Lot No. 30 on map entitled "Map of OAK RIDGE ESTATES
Foster St. South Windsor, Conn. Scale : I" - 40' Sept.. 5, 1965
Hayden L. Griswold C. E. Sheet2"
Scale 1" 40' 21
HAYDEN L. GRISWOLD C. E.