HomeMy WebLinkAboutSeptic New 91 Deerfield Lane TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date-4 Z Z. l.
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Propert ozlAddress of Owner /�- / /
2. Location of Propert r 9 Y40 I S L LoV Lot. No.
�
3. Type of Structure No. of Bedrooms
welling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 2— Urinals Lavatories Bathtubs
Showers_ Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank /�h� Material of Septic Tank -t�/��� �
7. Soil Conditions: Type of ) ++"-V-^dWMaximum ground water table
(SR A,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�-'S Classification of soil
11. Minimum square feet of effective seepage area required U
12. Leaching System: Number of trenches Length Width t-47 4z—'-Total 6
Other
Sin _
(Lacensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
Y
�67Za
158
I I
/50
2 0 9. 514�
o n
�� Aga-
149 O
So. soy �_ �,
I
9p• ry v
.113
d3 '!
S6 y
C£ERf'iE s9.�g•
Lp LANE
i
PERMIT PLAN
j
LOT ,#149, "BIRCH HILL ESTATES"
SECTION #7
TOWN OF SOUTH WINDSOR# CONNECTICUT ! t +
SCALE: iA = 40, �6
L.S. #4395
Rockville, Conn. 41,e
� '
x " , g