HomeMy WebLinkAboutSeptic New 39 Blue Ridge Drive r
TOWN OF SOUTH WI N DSOR 2
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair
/Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date_ /! 19461p—
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 ` Address of Owner
2. Location of Property P Lot. No.
3. Type of Structure ��) � ' Y1 Q L{�ttct t��DgZ 'D2�,��_No. of Bedrooms
( eiling,Commercial Buildilhg,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets _ Urinals Lavatories Bathtubs_
Showers_I Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank -1a!7) Material of Septic Tank ea nr b!
7. Soil Conditions: Type of Soil kC.1f�l)LaC (�p�l �' Maximum ground water table
(San1r,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
12. Leaching System: Number of trenches Length Width --,)2 Total_ (o
Other
Signatur zi err
(Licensed Installer
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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S O. OO,
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a 19 r 171
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BLUE ` RI OG E DRIVE
PEP, MIT (CLAN
LOT #172, "BIRCH HILL ESTATES" , SECTION #7
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" = 40'
L.S. #4395
;' -' Rookville, Conn.