HomeMy WebLinkAboutSeptic New 36 Mountain Drive TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal
/System
Application No. sv4
TO THE BUILDING DEPARTMENT: Date- �:2 — 6" 19 6f
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: tiln &JW en !
1. Owner of Property Address of Owner .v 4.041
S r r
2. Location of PropertyU40 0 c ( Nto ot. No.�
3. Type of Structure D e 1 ng, ommercial Building,Store,etc.) NO. of Bedrooms
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets '2-- Urinals Lavatories---?--
Showers / Kitchen Sinks_—/-1,`Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank � Material of Septic Tank (o l c t( Y r s w
7. Soil Conditions: Type of Soil Y c 0-C Maximum ground water table
(S nd,Gravel,Clay,etc.)
s
8. If not served by public water supply: Distance from Owner's well-?g 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 �r Classification of soil
11. Minimum square feet of effective seepage area required S7-0
12. Leaching System: Number of trenches Length V Width Total
Other
Signature
(Licensed Insta/below)'
(Sketch showing all minimum distances and other details requir
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
. }
-� LOT 44 LOT 55
LOT 43 LOT 5b
, , FOR �S ONLY
BUILD{NG t'o,�P`
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1
14100 p o
i / outgTA 1N DRIVE
/f�hj ,;, y tit,-•� PRCIPE Ty C
NO . ';0L1"I I A I N !' I VE_ :.,0111Ti! „ ! v(
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Ee i ng Lot No , 43 on ma's f:�nt i t l ed "I--ap of OAK
Forater "rect South s'i i rid sor, Conn . Ca I . 1 110'
Hayden L. Griswold . . E, Sleet; II
HAYDEN L. GR I .:'dC'LD C. -* . � '