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Home My WebLink AboutSeptic New 188 Scott Drive ' y a TOWN OF SOUTH WI N DSOR BUILDING DEPARTMENT South Windsor, Connecticut Application for Permit to Install or Repair Individual Sewage Disposal Systenro/// Application No. TO THE BUILDING DEPARTMENT: Date_ //7/�-- 19 Co 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 Add ress of Owner • S Sew 2. Location of Property � Lot. No. 3. Type of Structure E No. of Bedrooms!! elling,Commercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises_ 5. Plumbing Fixtures. Water Closets Urinals Lavatories Bathtubs- /_ Showers� Kitchen Sinks- -� Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic T=�=2, terial of Septic Tank7. Soil Conditions: Type of Sclay,a ,) Maximum ground water table 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 lassification of soil 11. Minimum square feet of effective seepage area required 12. Leaching System: Number of trenches Length / Width O �" Total Other Signature (Licensed Installer) ' (Sketch showing all minimum distances and other details required below) I psi Permit Issued 19 By Installation Completed, Inspected and Approved_____ _ 19 By eD O 14 0 O 0 �J 0 � o 0 0 o N 401 ee�' 38 24 I r 55' } I I I SC-c-Y7 Rtv E LOT #147, "BIRCH HILL ESTATES" SECTION #7 TOWN OF SOUTH WINDSOR$ CONNECTICUT SCALE: 1" 40, L.S. # 4395 Rockville, Conn. SKIP 'S INC. Ellington, CT (860)875-2332 Existing septic system location Address:_ ]B cJ calf r< S'a, lens y+Pb. ll:Ue: f 0-jD~ Customer Nnme:_�h 1).vw, Work Done: is iAg4, o c -F f , to Cust:h _____ bratl•a substantially correct drawing showing separation distances of septic system Installation. Include all of the lonowing infommllon to Provide an accurate record of Ilia enure sysiern locstlorr: at least two aides of the building nearest the system,septic lank,distribution boxes,trench ends,dry wells,galleries,polable water supply wens,and any other features affecting tho system and Its ldcalion. Also Indicate the septic lank size and leach field composition,Le.4'x 1'trenches,W x 10'dry wells,etc. Show leaching system reserve area and curtain drains.as needed. Show North with arrow. •Dr; v� w C Otc*cc4Z -type. APFrL A Zgitc6e-e �f b,: d"�y 6 C`Wer wk.s reel 40,x Slot twas ctc cd k�� ed l eve,(" w4,3 a © f okii+� in irbh4Gf i s < G?t Gor is hei:y de4re� .f 1 - .. �.. .;:.....tom..:...._._.. ....... .... Point 02 #5 #1 .� r.. ....#3_. 4 #6 #7 #8 #9 #1U Distance from Comer"K .3 3.S 37 7, .. _ ... _.. _ [Distance stan gce!W Comer" " 3.3.9 3 7- S , atance from"C" from"p»._. .:._.. ••ra-car. ... ... .. s-.. .. - .. - .......