HomeMy WebLinkAboutSeptic New 94 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 19
A permit is requested for repair or construction of an individual sewa disposal system concerning which the
following information is submitted: ✓�sa�wSays 94 D,e&A-e1&,LA 4444-
1. Owner of Property .. Address of Owner
2. Location of Property Lot. No.
3. Type of Structure w No. of Bedrooms 7
(Dw ing,commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 1.2 Urinals Lavatories_ Bathtubs
Showers_ Kitchen Sinks Laundry Tubs._ Garbage Grinder Other
6. Liquid Capacity of Septic Tank /.,:!LC) Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table
(Band,Orpel,Clay,e .
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,-;C 1%&�n Classification of soil
11. Minimum square feet of effective seepage area required f7
12. Leaching System: Number of trenches Length a Width Total / 0 6
Other
Signature
(License i
(Sketch showing all minimum distances and other details fired below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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SC OT" -r D R I V E
PERMIT PLAN
LOT #1460 "BIRCH HILL ESTATES", SECTION #7 a
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" _ 401
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_2 3 Rockville, Conn.