HomeMy WebLinkAboutSeptic New 166 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._ j
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 submitt�erd:
1. Owner of Property - a
p Y i-t., Ads of O ner
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2. Location of Property `t - , Lot. No._, __�_
3. Type of Structure ~1 a 1 c ; rJ G No. of Bedrooms— A-1
(Dwelling,C4TAmerciai Building,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
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6. Liquid Capacity of Septic Tank. . ' S Material of Septic Tank
7. Soil Conditions: Type of Soil J , '' Maximum ground water table
(Sand Gravel,Clay,etc.) f
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 F ,. Classi cation of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Q Q Width i Total
Other
Signature `
(Licensed Installer.)' j
(Sketch showing all minimum distances and other details required-Wow)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PROPERTY OF FOR
- BUILDING '
1 PURPOSES ONLY
NO. CLINTON DRIVE . SOUTH WINDSOR, CONN.
:;Being Lot No. 29 on map entitled "Map of OAK RIDGE ESTATES
.Foster St . South Windsor, Conn. Scale : 1 " - 40' Sept. 5, 1965
Hayden L. Griswold C. E. Sheet I "
Scale I" 40'
HAYDEN L . GRISWOLD C. E.
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