HomeMy WebLinkAboutSeptic New 56 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 r,.Y
f
19"� �,a
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 r w . _Address of Owner
2. Location of Property_ is 1 } Y� Ski 20.0 R o dJ. Lot. No. �
3. Type of Structure No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises-
5. Plumbing Fi tures: Water Closets 2 Urinals Lavatories ;; : Bathtubs
Showers_ Kitchen Sinks _ Laundry Tubs Garbage Grinder_ Other
6. Liquid Capacity of Septic Tank ,�# , 40 Material of Septic Tank . ? r �
7. Soil Conditions: Type of Soil �`` - 1 ' 11�I�ximum ground water table
Sand,Giavel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's wellA . o •L 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,. � z✓ Classification of soil
11. Minimum square feet of effective seepage area required
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12. Leaching System: Number of trenches Length O Width Total _
Other 313 ' 2%� QI
Signature,�
(fL�cen§e Instdller)
(Sketch showing all minimum distances and other details required- .elow)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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LOT # 106, BIRCH HILL ESTATES
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SECTION #4
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" = 40'
L.S. #4395
T�� G 22 i 94G Rockville, Conn.