HomeMy WebLinkAboutSeptic New 7 Scott Drive 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 sewage disposal system concerning which the
following information is submitted: f t�
1. Owner of Property / Address of Owner ►I � 1b ✓''C �'�"t"� ✓
2. Location of Proper !.✓i: C�ta �R� Lot. No._/�S
j 3. Type of Structure No. of Bedroom
(iWelling,Commercial Building,Store,etc.)
a 4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 2. Urinals Lavatories BathtubsT
Showers_ Kitchen Sinks / Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank /�cS� Material of Septic Tank C nC/t
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,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 Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length - Width Total
Other
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required �U)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 BY
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40' 50 `D
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14-3 75'
S .OTT V R
LOT #188, BIRCH :TILL ESTATES
SECTION #4
TOWN 0? SOUTH WINDSOR, C.ONNECTICUT
SCALE: l" = 40'
,.�� 4395
December 22, 1966 Rockville , Conn.
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F SLOTT C:�RIVr
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LOT # 1880, BIRCH HILL ESTATES
SECTION #4
'TOWN Of SOUTH 4INDSOR, 'ONNECTIJJT
SCALE : 1 " a 40'
Seapage fate per Gardner Report
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} t;, 14'
Linea) feet trenches 500'
GR I SWOLD ENGINEERING
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