HomeMy WebLinkAboutSeptic New 120 Scott Drive r
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: Da e 2 19
A permit is requested for repair or construction of an individual sewage�dispos�alsystem concerning which the
following information is submitted:
1. Owner of Property Address of Owner
2. Location of Property /20 �e 0-17- �R i r 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 Fixtures: Water Closets .,-- Urinals Lavatories - Bathtubs /
Showers_ Kitchen Sinks 1 Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan � Material of Septic Tank_
7. Soil Conditions: Type of Soil Maximum ground water table `7
(Sa 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 a /'7tc-,R. Classification of soil
11. Minimum square feet of effective seepage area required_ 4 6,2
12. Leaching System: Number of trenches Length l yam___ Widt �
Total
Other i'0
Signature
(Licensed Insta
(Sketch showing all minimum distances and other details r 'red below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
K U PC H UNO.5
Ate.
0150
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SCOTT
DRIVE
LOT #129, "BIRCH HILL ESTATES" . SECTION #6 ��4t °ti�►�
TOWN OF SOUTH WINDSOR, CONN. SCALE: 1" m 40'
Certified substantially correct.
Zoning regulations not violated . NO. 43gg
Building located as shown.
�F(T/yZERE.�
SURYE•TOR
L.S . # 4395 .,,,..m'
Au�uat 3, 1967 Rockville, Conn .
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