HomeMy WebLinkAboutSeptic New 35 Alpine Drive 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, P r , ` 19
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 2d0, tV D Cd Address of Owner
2. Location of Property( RCN i I i S%(BE_S'A Lot. No. �� S
3. Type of Structure f t2 t 35 At a b4LV4r No. of Bedrooms
TI(Dwelling,Commercial Building,store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 1.Z Urinals Lavatories` Bathtubs_
Showers_ Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank /d 51) Material of Septic Tank &O Q 4 2 E= Z
7. Soil Conditions: Type of Soil6
4 C&Z D S A lv 1)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 / Classification of soil
11. Minimum square feet of effective seepage area required �� O
12. Leaching System: Number of trenches Length 6?0 a Width a Total_
Other
Signature
(Licensed Installer
(Sketch showing all minimum distances and other details reqIwd below)
Permit Issued 19 - By
Installation Completed, Inspected and Approved 19 By
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LOT #165, "BIRCH HILL ESTATES"
SECTION #7.
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALES 1" 40,
Rockville, Conn.