HomeMy WebLinkAboutSeptic New 30 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:
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is EubmkVAi& LMVAc M
1. Owner of Property. L -- - Address of Owner_ le! V ,��e
2. Location of Property \ 1 o S'ronr�R�s/� Lot. No.��
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3. Type of Structure N No. of Bedrooms
Ihng,co ercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets,.. 2— Urinals Lavatories Bathtubs_
Showers_X Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank_ a S-71 f Material of Septic Tank v P7 C,Y Y.1'Ow
7. Soil Conditions: Type of Soil ri 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—___;' (� /01
12. Leaching System: Number of trenches Length ® Width Total
Other
Signatur 92
{Licensed Ins"below)
(Sketch showing all minitnum distances and other details req
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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