HomeMy WebLinkAboutSeptic New 11 Blue Ridge Drive 7 �
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Applicatio No.
TO THE BUILDING DEPARTMENT: Date 19 _
A permit is requested for repair or construction of an individual sewage di sal system concerning which the
following information is submitted:
1. Owner of Property e7IN 1� y Address of Owner
2. Location of Property n Lot. No. f77
3. Type of Structure u f „#D 2 a 164 No. of Bedrooms_
(Dweilin ,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets �a — Urinals Lavatories e72 Bathtubs
s Shower L_ Kitchen Sinks�L Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan ? C Material of Septic Tank k-
7. Soil Conditions: Type of Soil Maximum ground water table
( and, ra ,CIRY,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 d
12. Leaching System: Number of trenches Length Width g2,15� Total SOD
Other
Signature
(Licensed Install 7
(Sketch showing all minimum distances and other details red below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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46.00"
BLUE RIDGE DPfVE"
PERMIT PLAN
LOT #174. "BIRCH HILL ESTATES" , SECTION #7
TOWN OF SOUTH 'r;INDSOR , CONNECTTCUT
SCALE s 1" = 40 '
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