HomeMy WebLinkAboutSeptic New 64 Blue Ridge Drive TOWN OF SOUTH WINDSOR e
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date
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 D L4 S i ro G Address of Owner 10a%1 C'0,J�l S
2. Location of PropertyJ%, Q C,l l ► 1 </C�'11Q�-'F' S�� �aQ ict%�-Xr Lot. No. ZJ`*
3. Type of Structure Clj j. 1 rV No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 0*12- Urinals Lavatories
�— Bathtubs /
Showers_ Kitchen Sinks_L_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank. l a 5TV Material of Septic Tank
7. Soil Conditions: Type of Soil f l 6-17 ?19Ck49D SAxJ, i 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_ G Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length o Width Q Total 0
Other
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required elow)
� 1
�zx
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
i00
' n
31
l 153
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10
G 90
LOT #154, "BIRCH HILL ESTATES"
SECTION #7
TOWN OF SOUTH WINDSOR, CONN.
SCALE 1" _ 4O'
L.S . #4395
c. 'l Rockville, Conn.