HomeMy WebLinkAboutSeptic New 20 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_ 2/ f L 19 00
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property 61
ft Address of Owner C- L cS 4 f
175
2. Location of Property .sca Ii Lot. No.. Z0.7
3. Type of Structure LAJ-e >VV j No. of Bedrooms
(Dwel ing,coinnficial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories 2- Bathtubs.__
Showers_ Kitchen Sinks_ Laundry Tubs Garbage Grinder /Other
6. Liquid Capacity of Septic Tank ® 2�� Material of Septic Tank (, C z r e AYry w)
7. Soil Conditions: Type of Soil ✓c` S'a 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 V, Classification of soil
11. Minimum square feet of effective seepage area required '
12. Leaching System: Number of trenches-- — Length I U Width ® Total
Other
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required be ow)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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