HomeMy WebLinkAboutSeptic New 99 Mark Drive y: r: 7
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 1/"'.- 19
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 A ress of Owner
2. Location of Propert— Lot. No.
3. Type of Structure No. of Bedrooms
(Dwe g,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ 61�
5. Plumbing Fixtures: Water Closets 1-2- Urinals a Lavatories G Bathtubs
Showers 1 Kitchen Sinks I Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tanl Material of Septic Tank / ( � --,
7. Soil Conditions: Type of Soil Maximum ground water table
(, nd,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 (0 _Classification of soil !�
11. Minimum square feet of effective seepage area equired 410 ,
12. Leaching System: Number of trenches -� Length 71 Width 3O r� Total z
Iz
Other
Signature ti
Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
LOT
MARF. ROAD b Sl
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N� A R X R C A
MAP REF ERENCE
GRAHAM ESTATES aE::TION I
PROPERTY OF MORRAY HCMES , INC PLOT PLAN
4AYES & NE'VE:;-S RCADS , SOUTH "VVINDSOR , CONK . hEz,,-MALLIC4 HC4ES INC.
SCALE I „=401 Jit y 1956 MORTON S. F-INE C. E. �
3CUTH WINOSOR , CONN•
REVISED
COKti c� I HEREBY CERTIFY
THIS PLAN TO BE SUBSTANTIALLY ENGINEERING AND LAND SURVEYING
a
CORRECT; 740 NO. MAIN STREET. CROSSROADS PLAZA
NO. 3732 WEST HARTFORD 7, CONNECTICUT
uTRV — SCALE DATE REVISED D
0=401 10/7/63 6335
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