HomeMy WebLinkAbout1963-11-5 - 113 Mark Drive - Septic As BuiltM
TOWN OF SOUTH WI NDSOR
BU i LDI NG DEPARTMENT
South Windsor,Connec ticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application N o.#5f/
To THE BUILDING DEPARTMENT:Date //-J’*¢3 19
i A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1.Owner of Property W Addre of Owner
2.Locatlon of Property W ”g ’%»/X//¢7%iw9/Lot.No.g é
6.Liquid Capacity of Septic Tank (Wm //Material of Septic Tank /WW
7.Soil Conditions:Type of Soil 'roe/L Maximum ground water tabl
(a nd,Gravel,Clay,etc.)
8.If not served by public water supply:Distance from Owner’s well from adjacent welli
9.Distance to nearest water course,drainage ditch,storm drain or embankment
10.Percolation Tests:Time for 1"drop in soil test WW t Classification of soil m gist“g
11.Minimum square feet of enective seepage area required 9A§c?/
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12.Leaching System:Number of trenches ‘r g7 Length /r §zf I Width fa r Total é’PKJ ’
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Other
Signature L K’r (iz-L’/~{67‘7z /
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(Licensed Installer)
(Sketch showing all mini-mum distances and other details required below)
Permit Issued 19
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Installation Completed,Inspected and Approved 19 By
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Type of Structure /Q¢4~MZM4 No.of Bedrooms i f(Dwelling,Commercial Building,Store,etc.)
4.Number of Families or Persons to Occupy Premises nvjQ/
5.Plumbing Fixtures:Water Closets 92 Urinals 0 Lavatories O Bathtubs /
Showers I Kitchen Sinks l Laundry Tubs ”T Garbage Grinder .———Other
tor #£6
MARK ROAD
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MAP REFERENCE;
GRAHAM EsrATEs SEcruow i PLCT PI ANPROFERrvorMuRPAvHOMESINC.MEDALLICN HOMES INCHAVEs&NEVER&:R0ADS,SCUTH waMosoa CONN.SCUTH WINDSCPg CCNN.SgALE I":AO'JvLv #956 Monrow S.F m:(2.5.R v!SED 7‘7-560
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I HEREBY CERTIFY
THIS PLAN TO BE
SUBSTANTIALLY -
CORRECT:
z/A/a 7*(s /«r /‘1 A~»:.//
few-7 '.,4
ENGINEERING AND LAND SURVEYING
740 NO.MAIN STREET.CROSSROADS PLAZA
WEST HARTFORD 7.CONNECTICUT
_JEL&LE
l“=40i
DATE REVISED DR
t0/7/63 6335