HomeMy WebLinkAboutSeptic New 113 Mark 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. io�� l
TO THE BUILDING DEPARTMENT: Date_ //—✓�e3 19
1 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 Owner
113
2. Location of Property ,odY Lot. No. Z _
3. Type of Structure _ No. of`Bedrooms _
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ ( a/ nue_
5. Plumbing Fixtures: Water Closets ::IV, Urinals 0 Lavatories O Bathtubs
Showers Kitchen Sinks__L Laundry Tubs " Garbage Grinder Other
6. Liquid Capacity of Septic Tan c*V�e Material of Septic Tank 2l
7. Soil Conditions: Type of Soil Maximum ground water table
(Irand,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
11. Minimum square feet of effective seepage area required h�90
12. Leaching System: Number of trenches Length Width ��" Total y9�
Other
Signature +�` <
(Li ensedInstaller)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By
l
LOT # 16 �� �•
MARK ROAD
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M A R K R C A p
MAP REFERENCE;
GRAH-AM ESTATES SECTION I PLOT PI AN
PROPERTY CF MURPAV HOMES INC. MEDALLICN H-CM£S INC
HAVES & NEVERV ROADS , SOUTH WINDSOR CONN. SCUTH WINDSCR4 CCNN.
SCALE I "_AC' JULY I956 MORTON s. FINE C. E.
R VISEo 7-7-�56.
R 0KF � I HEREBY CERTIFY
THIS PLAN TO BE ENGINEERING AND LAND SURVEYING
SUBSTANTIALLY
CORRECT; 740 NO. MAIN STREET, CROSSROADS PLAZA
NO. 3732 WEST HARTFORD 7. CONNECTICUT
<� �C'rsTE� o� DATE REVISED D
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1 "=40 I0/7/63 6335
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