HomeMy WebLinkAboutSeptic New 219 Scott Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System 7
Application No. �4 d�
TO THE BUILDING DEPARTMENT: Date. { -.") - 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 Propertye Address of Owner d��
O
2. Location of Property Lot. No.
3. Type of Structure No. of Bedrooms
(D,P,aumg,commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 7,= Urinals Lavatories -ZBathtubs�
Showers -- I Kitchen Sinks Laundry Tubs Garbage Grinder /� Other
6. Liquid Capacity of Septic Tan s?� Material of Septic Tank -. ,
7. Soil Conditions: Type of Soi aximum ground water table
(Sand, avel,Clay,e
---------8.-If-not-served--by public water supply:Distance from Owner's-well -- - from adjacent weds
9. Distance to nearest water course, drainage ditch, storm drain or elpbankment
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required o / G
12. Leaching System: Number of trenches Length "' Width- yz�- Total lQ O G
Other
Signatur
(Licensed Installer
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
- BSI
I �B.00
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I II 55'+
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�7.73' I � ' _ 9 -4-.cRa'
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PF-Qml-r PLAf-4
LOT #1580 "BIRCH HILL ESTATES"
SECTION #7
TOWN OF SOUTH WINDSOR, CONN.
SCALE: 1" 40'
F
L.S. # 4395
Rockville, Conn.