HomeMy WebLinkAboutSeptic New 56 Deerfield Lane " y TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
ApplicLion No.
TO THE BUILDING DEPARTMENT: Date 19��
A permit is requested for repair or construction of an individual sewag disposal system concerning which the
following information is submitted:
1. Owner of Property �� G/ a Address of Owner
2. Location of Property Yl7�/��+� �i 0� � � s�0 'Pg1401-1 g t 13 LA,3 S Lot. No. 110'S
3. Type of Structure No. of Bedrooms
(pweiiing,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers C Kitchen Sinks Laundry Tubs ® Garbage Grinder Other
6. Liquid Capacity of Septic Tank Z,26—Q Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Grylel,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 %M&nN. Classification of soil
11. Minimum square feet of effective seepage area required ?416
12. Leaching System: Number of trenches Length Width �. Total
Other
Signature 0#01""
(Licensed Installer
(Sketch showing all minimum distances and other details requi d below)
Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By
100.00
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PERMIT- PLAN
LOT #143, "BIRCH HILL ESTATES", SECTION #7
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE, 1" 4o r
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L.S. # 4395
.Y Rockville, Conn.