HomeMy WebLinkAbout1966-1-6 - 165 Clinton Drive - Septic ApplicationTOWN OF SOUTH W[ N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
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TO THE BUILDING DEPARTMENT: Date i G:' 1 _ - C. 19 rr
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted- LaSxi ; � S e4 it i
1. Owner of Property /�yJ� Address of Owner_... c e•
2. Location of Property�t 2 i'r/ ? (- b& -< OL�n/Zcrn.l -za i 61 50— Lot. No. �
3. Type of Structure( J �r No. of Bedrooms
f (Dwelling, CornmereW 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 `I`ank C / r-"I7C-
7. Soil Conditions: Type of Soil I Ira L'€� l MaxiInUrn ground water table
,/( Sand, Gravel, Clay, etc.l
s
8. If not served by public water supply: Distance from Owner's well B i 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 T Classification of soil
11. Minimum square feet of effective seepage area required Sr4po
12. Leaching System: Number of trenches Length Width Total
Other
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required ow)
Permit Issued 19 By
Installation Completed, Inspected and Approved _ __ 19 By.
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162,00
PROPERTY OF
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LQT 24
NO'. CLINTON DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 25 on map entitled "Map of OAK RIDGE ESTATES
Foster St. South Windsor, Conn. Scale: 1" -- 40' Sept. 5, 1963
Hayden L. Griswold C.E. Sheet 2"
Scale I" = 40' (mac T. ,Z/, 1740
HAYDEN L. GRISWOLD C.E.