HomeMy WebLinkAboutSeptic New 62 Crestwood Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut f
Application for Permit to Install or Repair Individual Sewage Disposal System
/6
Application No.
TO THE BUILDING DEPARTMENT: Date �:E-00 19AOI�-
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 Addresss��of Owner
2. Location of Property 2 6 2 1.r2�S' warn *z2 Lot. No.�
3. Type of Structure �\�`r� ���^' �,���',-'" �' � � 1 '"'�' 4 No. of Bedrooms
(Dwelling,Co mercial 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 Z-f 7 Material of Septic Tank �c7,7 c r
7. Soil Conditions: Type of Soil 3-z d - c�?Y Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well 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 Classification of soil
f 11. Minimum square feet of effective seepage area required /ffC 0
12. Leaching System: Number of trenches Length g2 Width_ 2 Total
Other 5 /
Signature
—L:� 4��Z�
(Licensed Installer)
(Sketch showing all minimum distances and other details requir ow)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PROPEK I Y 0t
NO . �i;ES r0;OOP DR I VE :>OIJ I H W I NDSaK, CONN.
Re i nq Lot No. I j on map entitled "Fiap of OAK f\ I DGE ESTATES Foster �t .
South ;Windsor, Conn. Scale : I " = 40' Sept . 5, 1063 Havden t.. Griswold C. E.
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Scale I " = 40" HAYDEN' L. Gig I SYVOLD C .E.