HomeMy WebLinkAboutSeptic New 121 Mountain Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System yogi",
Application o.
TO THE BUILDING DEPARTMENT: Date
19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: A+ra i n s o rl
1. Owner of Pro pert p Y Addre 1 2 Ownetf Pry ,
2. Location of Prope ty i cu !� -.2)Aj" Lot. No. c..�
3. Type of Structure No. of Bedrooms
(Dwelling,Commercial Bui ng ldi ,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets C;2 Urinals Lavatories Bathtubs _
Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank f Z'd- �o Material of Septic Tank
7. Soil Conditions: Type of S i GC�!�C�9'
,o Maximum .round water to
(Sand,Gravel,Clay,etc.) g ble
8. If not served by public water supply: Distance from Owner's well om 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
12. Leaching System: Number of trenches Length Z Width Z L Total
Other
j
Signat
(Licensed Insta r)
(Sketch showing all minimum distances and other details requi- below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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LOT 33 LOT 3 4 y
/ T9,34 '
FOR UU/Lp/R
LOT 36 LOB' 55 PURPOSES ONLY
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14703
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PROPERTY OF
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NO`y MOUNTAIN DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 35 on map entitled "Map of OAK RIDGE ESTATES
Foster St. South Windsor, Conn. (Sheet 3) Scale: 1 " a 40'
Sept. S , 1963 Hayden L. Griswold C. E."
HAYDEN L. GRSSWOLD C. E.
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