HomeMy WebLinkAbout1965-12-3 - 166 Clinton Drive - Septic ApplicationTOWN OF SOUTH WI N ❑SOR
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: 124 y m p,vy 4 Y40,7
1. Owner of Property Address of O ner ��-� - � _- —
2. Location of Property _ Lot. No. P
3. Type of Structure �> > F = G _ No. of Bedrooms
(Dwelling, inmercialBuilding, Store, .)
4. Number of Families or Persons to Occupy Premises
5. Plumbing Fixtures: Water Closets __ Urinals _ Lavatories c Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic '.Car13c______ t_' 1 :-. ,
1
7. Soil Conditions: Type of Soil ' (Sand. Gravel Clay, etc,) Maximum ground water table
,
8. If not served by public water supply: Distance from Owner's well _i ? _�- from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment _
10. Percolation Tests: Time for 1" drop in soil Lost Classification of soil
11. Minimum square feet of effective seepage area required :f
12. Leaching System: Number of trenches Length �` 0 [J Width Total
C)Lhrr
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued
19--- By
Installation Completed, Inspected and Approved 19 13y
LOT 30
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6Rf, LOT9 - - -33'
— — - - - - -
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PROPERTY OF FOR BUILDING PURPOSES ONLY
NO. CLINTON DRIVE' SOUTH WINDSOR, CONN.
:;Being Lot No. 29 on map entitled "Map of OAK RIDGE ESTATES
Foster St. South Windsor, Conn. Scale: 1" - 40' Sept. 5, 1965
Hayden L. Griswold C.E. Sheet I"
Scale 1" - 40' 7, /0, 11q
HAYDEN L. GRISWO LD C.E.