HomeMy WebLinkAboutSeptic New 166 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 19 �
A permit is requested for repair or construction of an individual sewag disposal system concerning which the
following information is submitted:
1. Owner of Property l i Address of Owner --�gi��s � r
2. Location of Property J -ba%d LLot. No. /3 .7
3. Type of Structure Build No. of Bedrooms 7
�(D'
lling,Commercial Building,Store,—etc.)
4. Number of Families or Persons to Occupy Premises_
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
7. Soil Conditions: Type of SoilMaximum ground water table
(sand,urapr 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 1 L mmg Classification of soil
11. Minimum square feet of effective seepage area required S? 0 c)
12. Leaching System: Number of trenches Length--,3a_ Width ? _ Total
—?-a?)—
Other
Signature
(License nsta�ll Y/
(Sketch showing all minimum distances and other details requited below)
Permit Issued 19 By
Installation Completed, Inspected and Approved lg By
J
C4-IR1 STI-NSEN
i
1 So. 00'
o
133
132
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� 150 .00' I
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t�EkPAt t✓LAN
LOT #133, "BIRCH HILL ESTATES SECTION 6
TOWN OF SOUTH WINDSOR, COA:N .
SCALE: 1" - 50'
L.S . # 4395
3"� Rockville, Conn .