HomeMy WebLinkAbout1966 - 139 Clinton Drive - Septic ApplicationTOWN 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 _ 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: bcr �' l"►Q ��� Q
1. Owner of Property Address of Own
2. Location of Property ti l 3 �� 1,.J ,c) I,ot. No. -2,3
ti
3. Type of Structure ^-' 0 No. of Bedrooms_
(Dwelling, Com rcial 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 Tank ` Material of Septic Tank_ c :: ./f Z-;Iz,��
7. Soil Conditions: Type of So' �' �� ?�� Maximum ground water table
($&nd. Gra%ful, Clay, etc;)
8. If not served by public water supply: Distance from Owner's well y 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 _ .Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width Total
(Sketch showing all minimum distances and other details required below)
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Permit I
9 By.
Installation Completed, Inspected and Approved —w 19 By,
r+rnt OF So�TM �UINDS�R
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PROPERTY OF
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FOR BUILDIWG pUPpGSE8 o
NO. CLIOTON DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 23 on map entitled "Map of OAK RIDGE ESTATES Foster ST.
South Windsor, Conn. Scale: I" = 40' Sept. 5, 1963 Hayden L. Griswold C.E
Sheet at
Scale: I" - 40• "YDEN L. GRISWOLD C..E. /fir
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