HomeMy WebLinkAboutSeptic New 178 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 L 19
A permit is requested for repair or construction of an individual following information is submitted: sewage sposal system concerning which the
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1. Owner of Property Address of Owner__������
2. Location of Property -01C17r lbe Lot. No.�
3. Type of Structure
(Dw ling,Commercial Building,Store,etc.) No. of Bedrooms
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories__ Bathtubs- J
ShowersZ Kitchen Sinks / Laundry Tubs Garbage Grinder Other,
6. Liquid Capacity of Septic Tank </__'I_��� Material of Septic Tank__,-, y +�
7. Soil Conditions: Type of Soil Maximum ground water table
( and, r 1, ay,a c.
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 77 .,A;>- Classification of soil
11. Minimum square feet of effective seepage area required to 0
1
12. Leaching System: Number of trenches Length Width 2�_ Total 1 �®
Other
Signature
(Licensed nsta
(Sketch showing all minimum distances and other details re Fred below)
o? Tumb 1970
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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MORTGAGE SURVEY
LOT #134. "BIRCH HILL ESTATES" , SECTION #7
TOWNOF SOUTH WINDSOR, CONNECTICUTQ;�Fr�
SCALE: 1 - 50 ,.r;� oy`�
Ce.rtifipd sub: tant;ially rorrE *_ .
No. 4395 +'
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L.S . # 4395
April lc , 1969 Rockville , Conn.