HomeMy WebLinkAboutSeptic New 177 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. Z7�1
TO THE BUILDING DEPARTMENT: Date. / 2 —� lg 15
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: q�f�� yQt�vo��
1. Owner of Property /t ''< , _Address of Owner
2. Location of Property/'77LtWT-,3AJ� Lot. No.__Z2?_ _
3. Type of Structure No. of Bedrooms -_J
(Dwelling,Commercial Building,Store,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
7. Soil Conditions: Type of Soil r Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well 4 from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankmbent
10. Percolation Tests: Time for 1" drop in soil test :14e � a'sssifiication of soil
11. Minimum square feet of effective seepage area required .. % „5
12. Leaching System: Number of trenches Length �. � I Width Total
Other
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Signature
(Licensed Installer) '
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved_ 19 By
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VIP,01'ERTY OF
NO . CLINTON DRIVE SOUTH 'n 1 NDSOIN' CONN .
Being Lot No. 26 on map entitled "Map of OAK RIDGE ESTATES
Foster St . South Windsor, Conn. Scale : I " - 40' Sept . 5, ; 1963
Hayden L. Griswold C. E . Sheet 2"
low
HAYDEN L . GR15W01_D C. E .