HomeMy WebLinkAboutSeptic New 50 Crestwood Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System ?Xr
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: ,,��yur�ai
1. Owner of Property �?� �`r"�i�_Address of Owner G.
-;
2. Location of Property �� i0 Lot. No.
3. Type of Structure w No. of Bedrooms_
(Dwelling Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ J
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs 0
Showers / Kitchen Sink Laundry Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank r, 1717 c r-e ro w
7. Soil Conditions: T J /�y
Type of Soil/d a�/ Maximum ground water table
(Sand gavel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well from adjacent wells LJ
9. Distance to nearest water course, drainage ditch, storm drainor embankment d ,-
10. Percolation Tests: Time for 1" drop in soil test U �/ �'`� Classification of soil
11. Minimum square feet of effective seepage area required 7,3 G�
12. Leaching System: Number of trenches Length ' Width Total o
Other
Signatur
(Licensed Ins er)
(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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FOR BUILDING PVW�
PNOPEN-1 Y Ol'
NO . C'R ES I WOOD DR I V E SOUTH W I NDSOR, CONN.
Being Lot No. 16 on map entitled . "Map of OAK RIDGE ESTATES Foster St.
mouth Windsor, Conn. Scale : I " = 40' Sept. 5, 1963 Hayden L. Griswold C. €,
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Scal-e : 1 " = 40' HAYDEN L. GRISWOLD C. E.