HomeMy WebLinkAboutSeptic New 44 Scott Drive 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
A permit is requested for repair or construction of an individual sewage disposal stem concerning which the
following information is sub itted:
1. Owner of Property �'� Address of Owner
# �� S,
2. Location of Property f '� �'i"1' 1 d_ Lot. No.
3. Type of Structure
(Dwelling,C mly
ercial Building,Store,etc.) NO. Of Bedrooms
4. Number of Families or Persons to Occupy Premises_
5. Plumbing F' tures: Water Closets
Urinals Lavatories Bathtubs
Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank_�_ 0 Material of Septic Tank d
7. Soil Conditions: Type of Soil_! ,i gimum ground water table
(Sand,Gr�l� el,Clay,etc.) �
,
8. If not served by public water supply: Distance from Owner's well from adjacent wells
0. 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 d WidthI
•� Total
Other
i��:
Signature
In er)
(Sketch showing all minimum distances and other details require ow)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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LOT #105, BIRCH HILL ESTATES
SECTION #4
Town of South Windsor, Conn.
SCALE: 1" - 40'
L.S. #4 39 5
7-u 7 , Rockville , Conn.