HomeMy WebLinkAboutSeptic New 24 Crestwood Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Applica on
TO THE BUILDING DEPARTMENT: Date
A permit is requested for repair or construction of an individual sewa disposal system concerning which the
following information is submitted: ����
1. Owner of Property -• Address of Owner ��`T
2. Location of Property Lot. No / s�
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 -.91 Urinals Lavatories` Bathtubs_
Showers_ Kitchen Sinks, Laundry Tubs Garbage Grinder /f Other
6. Liquid Capacity of Septic Tank 11 end::5 Material of Septic Tank
'f 7. Soil Conditions: Type of Soil Qr;g,- / Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well e',6//'�- 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 Z/2� Classification of soil
11. Minimum square feet of effective seepage area required o2�h
12. Leaching System: Number of trenches Length Widt Total
Other o Z�2
Signature
(Licensed Instal
06
(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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LOT 15 LIT 14 LOT 13
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PROPERTY OF
NO. CRESTWOOD DRIVE SOUTH WINDSOR, CONN,
Being Lot No. 14 on map entitled "Map of Oak Ridge Estates Foster St.
South—Windsor, Conn.—Sce 1 e -C"—=40' Sept. ; 19 3 Ney�en L. Griswold
C. E." Sheet 3
Scale : 1" 40' HAYDEN L. GRISWOLD C. E. /�=C.
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1 G� 20 �`� u° _ FOR BUILDING PUR OSES ONLY
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LOT 15 L-6T 14 L OT c3
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PROPERTY OF
NO. CRESTWOOD DRIVE SOUTH WINDSOR, CONN .
Being Lot No. 14 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 3
Scale : 1" = 40' HAYDEN L. GRISWOLD C . E.