HomeMy WebLinkAboutSeptic New 92 Mountain 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.
TO THE BUILDING DEPARTMENT: Date 6
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: to
1. Owner of Property 44� Address of ner � 2 /C, °(4
2. Location of Property r `� i� ` � Lot. No.
3. Type of Structure ' w e No. of Bedrooms_
(Dw lling,Co ercial 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 Tan O o Material of Septic Tank / a h c s f- t
7. Soil Conditions: Type of Soil "L/ r Maximum ground water table
(Satid,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well U h C 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 Y �9✓ Classificat, n of soil
J
11. Minimum square feet of effective seepage area required 7 S
12. Leaching System: Number of trenches Length /f d Width— 0 Total 7f
Other /yj Z �,4/ .3 :!��7 a/
Signature �
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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Be i rig Lot No . 47' on map can; i t l ec! " 'Map of 'OAK' RIDGE ESTATES
Foster Street
South Windsor, Conn. (,-heet 2) Scale : I " 40' Sei)t , 5, 1063
Hayden L . Griswold C. E .-
Scale t" 4`C,' AQ&Uv$T 4,l9 ►S"
MAYPEN L. GRISWOLD C .E .
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sut+ tarttially ct�rrecf and that ,no
zoning revilatfona are violated. u. l• ,
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