HomeMy WebLinkAboutSeptic New 7 Deerfield Lane TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System /10e
Application No.
TO THE BUILDING DEPARTMENT: Date, /-- 9
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 7 ,5;?
2. Location of Property 7 f LD Lot. No.
3. Type of Structure No. of Bedrooms
(2pelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets ?- — Urinals Lavatories-2— Bathtubs
Showers l Kitchen Sinks / Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank---- Z Material of Septic TankC o
7. Soil Conditions: Type of So' aximum ground water table
(San Gravel,Clay, 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 1--2�Y7 . Clas ification of soil
11. Minimum square feet of effective seepage area required
i
12. Leaching System: Number of trenches Length �j` Width Total
Other Z/ �LLIZ
Signat e
(Licens�Instiier)
(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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LOT #177s "BIRCH HILL ESTATES" �
SECTION #4
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" _ 40'
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L.S. # 4395 y
/0 -/A-67 Rockville, Conn .