HomeMy WebLinkAboutSeptic New 114 Mark Drive ` a
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 �/ —6 J 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"-
L�G��m2� '�T07XLo Address of Owner,
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2. Location of Property Lot. No.
3. Type of Structure No. of Bedrooms
Dwell' g,Commercial Building,Store,etc.) _
. 4. Number of Families or Persons to Occupy Premises_ (t%/��
5. Plumbing Fixtures: Water Closets Urinals d Lavatories Bathtubs
Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder Other,
6. Liquid Capacity of Septic Tank 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, stormm/drain or embankment
10. Percolation Tests: Time for 1" drop in soil testJ� Classification of soil
11. Minimum square feet of effective seepage area required Jro /
12. Leaching System: Number of trenches Length �0�� Width Total ys��
Other f�
Signature/
(TAcensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By
LOT # !3
MARK ROAD
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Pi/P TCWN ^F SOVTH WINDSOP �� fI
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M A R K R. c A D
*AP r{ErERENCE; PLOT FLAN
aRAHAw ESTATES SECTION I MEDkLL IOFV "MCS INC.
PROPERTY OF HURRAY HOMES INC. SOUTH WINDSOR, CONNO
H%YES & NB'VEaS RCAOS , SOUTH * 1*00SCR , CONN.
SCALE I"=l:C' JULY !956 iQ&RTC,IY S. F"INE C.E.
REvisFO 7-7-56
��o�R oKF�cTi I HEREBY CERTIFY
THIS PLAN TO BE SUBSTANTIALLY ENGINEERING AND LAND SURVEYING
P
CORRECT; 740 NO. MAIN STREET, CROSSROADS PLAZA
NO. 3732 WEST HARTFORD 7, CONNECTICUT
GISTE �ASCALE DATE REVISED D
9ti0 SURV�
i"=40110/7/63 63;5
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