HomeMy WebLinkAboutSeptic New 187 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.
TO THE BUILDING DEPARTMENT: Date
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted
1. Owner of Property Address of OwnerIf
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2. Location of Pro ert /.tl �c1 �2l d Lot. No,
3. Type of Structu No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises
5. Plumbing Fixtures: Water Closets --3 Urinals Lavatories Bathtubs
Showers_ Kitchen Sinks_ Laundry Tubs- Garbage Grinder Other
6. Liquid Capacity of Septic Tan Material of Septic Tank C O-'9 Jr' uj
7. Soil Conditions: Type of Soil 11Q4%Q,0a aximum ground water table
(San ,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's welQu B/-1 G 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 ,�� .�// —Classi ation of soil
11. Minimum square feet of effective seepage area r quired lP
12. Leaching System: Number of trenches Length ZIV Widt Z r Total,2Z-,5--'�/
Other
Signatur
(Licensed Ins r
(Sketch showing all minimum distances and other details req6int below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PROPERTY OF B UILDIt vffl ES ONLY,
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NO . CLINTON DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 27 on map entitled "Map of OAK RIDGE ESTATES
Foster St . South Windsor, Conn. Scale : 1 " -40' Sept. 5, 1965
Hayden L. Griswold C. E . Sheetl "
Scale 1 " = 40' /-(,
HAYDEN L. GRISWOLD C. E.
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/ G -- - --------.,, � ,� --- PROPERTY OF
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MEMBER
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NO. CLINTON DRIVE SOUTH WINDSOR, CONN.
P LAN. SHOWING REVISION OF 'LOT. NO. 27 AS SHOWN ON MAP ENTITLED .
"Man of OAK RIDGE 'ESTATES ..Foster St. South -Windsor, Conn.
(sheet 1 ) Scale. 'I " _` 40' . Sept. $, 1963. Hs*den L. GriswoId:C.:E.
_. : Section I I, May 22,
Scale : I' m 40.'
July 28, 1066
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