HomeMy WebLinkAbout1963-11-5 - 108 Mark Drive - Septic As BuiltTOWN OF SOUTH WINDSOR
BUILD!NG DEPARTMENT
Soufh Windsor,Connec ticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.#5???
TO THE BUILDING DEPARTMENT:Date //“5‘53 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which thefollowmginformatlon1ssubmltted
Owner of Property /Address of Owner
Locatlon of Property 7]£%ik/16/xélofj¢E2//¢€Z%¢zo/Lot.N0.(%
Type of Structure K Abe v€/ZX¢‘7?¢No.of Bedrooms :3)welling,Commercial Building,Store,etc.)
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4.Number of Families or Persons to Occupy Premises VM/zkj
5.Plumbing Fixtures:Water Closets r '
Urinals (J Lavatories g?Bathtubs %z i
Showers /Kitchen Sinks /Laundry Tubs "Garbage Grinder "Other
6.Liquid Capacity of Septic Tank /¢‘1*6 ..Material of Septic Tank f“
7.‘-Wee/é,S011 Conditlons.Type of S011 Max1mum ground water tabl(#d,Gravel,Clay,etc.)
8.If not served by public water supply:Distance from Owner’s well from adjacent well s
9.Distance to nearest water course,drainage ditch,storm drain or embankment,
10.Percolation Tests:Time for 1”drop in soil test /£§é}2u%’.Classification of soil g
11.Minimum square feet of effective seepage area required ed‘BZé’/
Permit Issued 19
Installation Completed,Inspected and Approved 19 By
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12.Leaching System:Number of trenches a?Length x ,u/f a.Width v Total §0g /—I ,
Other
Signaturew"’/Zéa~mr1(]/;/?cr-v‘r /«
{Licensed Installer )
(Sketch showing all minimum distances and other details required below)
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MARK ROAD
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THIS PLAN TO BE
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ENGINEERING AND LAND SURVEYING
740 NO.MAIN STREET.CROSSROADS PLAZA
WEST HARTFORD 7.CONNECTICUT @_.
DATE REVISED DR
30/7/65 6335
CREST ILUEPRINTIIRVICE