HomeMy WebLinkAboutSeptic New 53 Blue Ridge Drive TOWN OF SOUTH WI N DSOR +� y
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
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Application No.
TO THE BUILDING DEPARTMENT: Date. I I — H( 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
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1. Owner of Property ?ji R 1 A4Address of Owner "f� vt� Q�en
2. Location of Propert3 ,�{ A �n 7� f 4 P ,a ' S3 !/�L,4JR sg �. Lot. No.
3. Type of Structure No. of Bedrooms_
Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets _ Urinals Lavatories_ 2 Bathtubs
Showers_ Kitchen Sinks J Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 4 --D Material of Septic Tank i lr—A ZZ:
7. Soil Conditions: Type of Soil aximum ground water table
(Sa ,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 ,P 0-6— Width i; ;7�7— Total
Other
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Signat
(Licensed Installer
(Sketch showing all minimum distances and other details requi below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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LUE FZIDGE DRIVE
PERMIT PLAN
LOT #1719 "BIRCH HILL BSTLTBS", SECTION #7
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" = 40'
L.B. #4395
S E P T. 2 7
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7 i9G illa, Conn.