HomeMy WebLinkAbout1965-12-3 - 154 Clinton Drive - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. �O
TO THE BUILDING DEPARTMENT: Date
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: "4&rJ n � I SeA dQrc' ,
1.
:1
Owner of Property - Address of Owner
2.
Location of Property +C-C ' e]+J—,D,_t Lot. No.
3 0
3.
Type of Structure, L�- `' No. of Bedrooms
(Dweliing.-Codimercial Building, Sioee. etc.)
4.
Number of Families or Persons to Occuppy`� Premises__
5.
Plumbing Fixtures: Water Closets off. Urinals LavatoriesBathtubs
6.
Showers. Kitchen Sinks ' Laundry Tubs Garbage Grinder Other
Liquid Capacity of Septic Tank Material of Septic Tank
7.
Soil Conditions: Type of Soil 7 f=_—I_ Maximum ground water table
(Barra. 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, storm drain or embankment
10.
Percolation Tests: Time for 1" drop in soil test Z,Classification of soil
11.
Minimum square feet of effective seepage area required_
12.
Leaching System: Number of trenches Length �" �� Width 5_U Total___,a
G"
Other
Signature r_,sl�^'� r ^ _Ao,�
(Licensed 1115WAler)
(Sketch showing all minimum distances and other details required below)
Permit
_,19 By
Installation Completed, Inspected and Approved 19 By.
1,07 38
02
L07
PROPERTY OF
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NO. CLINTON DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 30 on map entitled "Map of OAK RIDGE ESTATES
Foster St. South Windsor, Conn. Scale: I" - 40' Sept. $, 1965
Hayden L. Griswold C.E. Sheet2"
Scale I"— 40'
I
HAYDEN L. GRISWOLD C.E.