HomeMy WebLinkAboutSeptic New 23 Alpine Drive .e !
TOWN OF SOUTH WI N DSOR - �-
~ BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date. I CA >1 °i 19 (a
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 4"If41 7a"ZZNJ G Address of Owner X ,c
2. Location of Property /� fj/ &�/ �S T1S� r F S JNup/�/E �/2 ✓*t Lot. No.
3. Type of Structure ZI;Qe441 4) G- No. of Bedrooms_
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets .2 — Urinals Lavatories Bathtubs,_
Showers,1 Kitchen Sinks__ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank e—1/3 A alZE T F-
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7. Soil Conditions: Type of Soil f ( U e f� Maximum ground water table
(sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well 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 Y-• C) Classification of soil
11. Minimum square feet of effective seepage area required �J v
12. Leaching System: Number of trenches Length...A Width of r�2 Total 6
Other
Signature
(LicenseAIns )(Sketch showing all minimum distances and other details slow)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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LOT #166, "BIRCH HILL ESTATES"
SECTION ##7
TOWN OF SOUTH WINDS}?, CONNECTICUT
SCALE c 1" = 40 ,
7-6� L.S . # 395-Rockville, Conn. yy�
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