HomeMy WebLinkAboutSeptic New 23 Scott Drive ! + i
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT:. Date. "—-- 7 197
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 UC - ddress of Owner
2. Location of Property C 1J i Yr �� 7
�f.. Lot. No.--�-�. i
3. Type of Structure No. of Bedrooms_
{Dwellin ommer al Building,Store,etc.)
4. Number of Families or Persons to Occup^y� Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories 2-- Bathtubs
Showers_ Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank` � Material of Septic Tank -� ere kr;�
7. Soil Conditions: Type of Soil S�"I,d. 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 r�C jssifieation of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length —7 Width Total 2—�
Other
Signature
(Licensed.... r
(Sketch showing all minimum distances and other details re ire )d below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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KROH HILL ESTATES
SBOTION
TOWN OF SOUTH WINDSOR, CONNEC210U'
ClYY�1�.T ?" _ 40'
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L.S. 4395
De,)sm ,er 7, 1956 Rockville, Cone,