HomeMy WebLinkAboutSeptic New 119 Scott Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal Syste
Application No. 04 ZZ
TO THE BUILDING DEPARTMENT: Date 19
A permit is.requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property10C Address of Owner
2. Location of Property 119 -%a +e Y Lot. No.
3. Type of Structure
elling,Commercial Building,Store,etc.) No. of Bedrooms
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets_s,"� Urinals Lavatories_ 1,R Bathtubs
Showers f Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank /cm2 �et.
of Septic Tank �� 21,
7. Soil Conditions: Type of So' trximum ground water table
San ravel,Clay, .)
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 V drop in soil test -Y�—L Classification of soil
11. Minimum square feet of effective seepage area required_ /Q6 1 `\
12. Leaching System: Number of trenches Length ::, i Q Width O'
-L Total_
Other .3Gtj I Z 0 —
Signatur
(License nstall
(Sketch showing all minimum distances and other details requ below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
29. 73'
7
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/a.
r3'- za"
N
1
Gv 4' /
2G' /
151 6
i
S C O T T DRIVE
/f ✓y.,�
PERM ( T PLAN
LOT #128, "BIRCH HILL ESTATES" , SECTION #6
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" 40, - 7
Rockville, Conn.