HomeMy WebLinkAboutSeptic New 154 Scott Drive t 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._ Q S'` 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 Property_ Address of Owner--�--! f�t�►14 �-�
2. Location of Property r JCd7T� Li2 1 Lot. No.-
3. Type of Structure W No. of Bedrooms
elling,C mmercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premis s_
5. Plumbing Fixtures: Water Closets 2 Urinals Lavatories._ Bathtubs_
Showers_ Kitchen Sinks____ Laundry Tubs Garbage Grinder�� Other
6. Liquid Capacity of Septic Tank Material of Septic Tank_L__�pYlc r,L�� YYo cal
7. Soil Conditions: Type of Soil 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
12. Leaching System: Number of trenches Length—2 Z47- Width_ rl f. Total �0 0
Other
Signature
(Licensed Installe
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
C-HQIST' ENc E> I (< UPCHUNOS
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55 I'
t09.00 1 IL, 41.3g.
SGOTT D t\1E.
LOT # 132, "BIRCH HILL ESTATES"
SECTION #o
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" 40,
April 7, 1967 Rockville, Conn,