HomeMy WebLinkAboutSeptic New 82 Deerfield Lane TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System #&'17
Application No.
TO THE BUILDING DEPARTMENT: Date. ' 2Z_ 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:s, L&kars A-
Address of Owner c//
1. Owner of Property
2. Location of Property 8 v r t.L L Lot. No.
3. Type of Structure w No. of Bedrooms
Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets � Urinals Lavatories e2 Bathtubs
Showers_ Kitchen Sinks /Laundry Tubs Garbage Grinder /� Other
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6. Liquid Capacity of Septic Tank / Material of Septic Tank ( (}/del rG
7. Soil Conditions: Type of Soil / Maximum ground water table
ravel,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 J®/XCIP4—) Classification of soil
11. Minimum square feet of effective seepage area required T 6 0
12. Leaching System: Number of trenches Length 6 : Width � Vz— Total
Other
Signatur
4�
(Licensed InstaAer)
(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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82.00" 72.2 3" t
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LOT #145, "BIRCH HILL ESTATES", SECTION #7
TOWN OF SOUTH WINDSOR, CONNECTIC`UT
SCALE: 1" 40'
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L.S.:#4395
Rockville, Conn.
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