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HomeMy WebLinkAboutSeptic New 165 Clinton Drive ' M 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: JJ �i 19 Date. tJC/ � A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: C6ssa.nd,<X- L Owner of Property Address of Owner-�� 2. Location of Property -, /' �� n/ 2 e � Lot. No.'���- 3. Type of Structure_y��C'�//i7�i "' " b.` ___,===�+a+ouuaing,store,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 Z, / Material of Septic Tank C C3/7 r 7. Soil Conditions: Type of Soil !2ra4le ZMaximum ground water table (Sand,Gravel,Clay,etc.) 8. If not served by public water supply: Distance from Owner's well6� G l _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 Classification of soil 11. Minimum square feet of effective seepage area required 12. Leaching System: Number of trenches Length Width a r Total Other 'el 4# 7 z?r Signature 49-a=. (Licensed Installer) (Sketch showing all minimum distances and other details required ow) Permit Issued 19 By \ Installation Completed, Inspected and Approved______, 19 By -� s `+ k ♦ .'4't M1 'X'?�4 LOT 26 i PDT 25 �� LOT 24 , i 1 i \ 4 j/��O 00 �z' YI J.`/ 117 t tii��j,,�►ir r►r � ,, ga 162.00 eSq 4 7. it 1 PROPERTY OF L: NO. CLINTON DRIVE SOUTH WINDSOR, CONN. i Being Lot No. 25 on map entitled "Map of OAK RIDGE ESTATES Foster St . South Windsor, Conn. Scale : 1" -- 40' Sept. 5, 1963 Hayden L. Griswold C. E. Sheet 2" HAYDEN L. GRISWOLD C . E. �5 #`r rtzswWm,