HomeMy WebLinkAboutSeptic New 25 Blue Ridge Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Dis al System
,25 �Application No.
TO T11E BUILDING DEPARTMENT: Date 1
A permit is requested for repair or construction of an individual sewage sposal system concerning which the
following information is submitted:
1. Owner of Property ►{ _Addr of Qwner
2. Location of Property n AA Lot. No. /
3. Type of Structure u k%. �A%A0 No. of Bedrooms
(Dw ing,Commercial Buildin ,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs---I—
Showers I Kitchen Sinks ` Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank_ ,/� .�^V Material of Septic Tank (7, dg2,�0,0
7. Soil Conditions: Type of Soil Maximum ground water table
and,GraV6,Cro,e c.)
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 7'� Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length—` -0 Width cD 1,t5 Total d
Other
Signature
(Licensed In 1!9r)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved —10— By
1751
197 45
I ribPf
d jZ.
C17 ; 17z
22'
24'
24' 2'
50 Ek
I
150. 00,
�5 BLUE R I D G E DRIVE
PERMIT PLAN
LOT #173, "BIRCH HILL ESTATES", SECTION #7
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" = 40 '
- L.S. # 4395
Rockville. Conn.