HomeMy WebLinkAbout1966-4-19 - 121 Mountain Drive - Septic As BuiltTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor,Connec ticut
7~¢w*
Application for Permit to Install or Repair Individual Sewage Disposal System
Application
TO THE BUILDING DEPARTMENT'Date 19
A permlt ls requested for repalr or constructlon of an 1nd1v1dua1 sewage dlsposal system concermng whlch the
following 1nformat10n 1s submqltted w (9+Vlme w“.
ddress of Owne2.I
2.Location of Prope ty 0/0 &{/qiewwww Exzuxz l Lot.No.3§//
/'/)(?No.of Bedrooms/
4.Number of Families or Persons to Occupy Premises
5.Plumbing Fixtures:Water Closets ‘Urinals Lavatories &Bathtubs L
Showers /Kitchen Sinks g Laundry Tubs Garbage Grinder Other /‘
(Dwelling,Commercial Building,Store,etc.)3.Type of Structure
A F
6 Liquid Capacity of Septic Tank .'§§Material of Septic Tank I Mia.)
7:Soil Conditions:Type of Soi $M?/@“Maximum ground water table
\
(Sand,Gravel.Clay,etc.)
8.If not served by public water supply:Distance from Owner’s well rom adjacent wells
9.Distance to nearest water course,drainage ditch,storm drain or embankment ‘
l10.Percolation Tests:Time for 1"drop in soil test Classification of soi
11.Minimum square feet of effective seepage area required
12.Leaching System:Number of trenches Length as 3?Width “w Total
Other
/..Jr“Signature—
(Licensed
/z»’J,
Installer)//
(Sketch showing all minimum distances and other details required below)
Permit Issued 1 9
Installation Completed,Inspected and Approved,19 By
,
A@kr
//
LDT $3
L&?5é
PROPERTY OF ’“Il'w
N03,}MOUNTA I N DR l VE SOUTH WINDSOR,CONN.
Being Lot No.35 on map entitled "Map of OAK RIDGE ESTATES
Foster St.South Windsor,Conn.(Sheet 3)Scaie:l”=40'
$ept.5 ,1963 Hayden L.Griswoid C.E."
5f???,7Scale:I”=40'9/}74f
HAYDEN L.GR$SWOLD C.E.
”