HomeMy WebLinkAboutSeptic New 224 Scott Drive K 1
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT A
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT:
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-c� ` C��) ,O Address of Owner
` � 2 r
2. Location of PropertyL i rr in fT 1� q T2��S�224 IT A, Lot. No.�
3. Type of Structur q No. of Bedrooms_Y I(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets . = — Urinals Lavatories_ Bathtubs_
Showers_L Kitchen Sinks 1 Laundry Tubs Garbage Grinder Other,
6. Liquid Capacity of Septic Tank /2 5� Material of Septic Tank
7. Soil Conditions: Type of Soil ct (A no 0 Maximum ground water table
t ban9l,Gravel,May,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—&�OQ WidtYhr,� _ Total/V(7�
Other
S' �
(Licensed In 1
(Sketch showing all minimum distances and other det6if "required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
LAND OF C
NR t��-ENSEN
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no
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1� I N 34:
N 37
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7' 2 0'
N m
4 0'
5 5�
I
SCOTT D K IVE
PERMIT PLAN
LOT #160, "BIRCH HILL ESTATES, SBCTION #7
TOWN OF SOUTH WINDSOR, 0011111TIOUT
SCALE: 1" 401
L.S. #4395
9 ` z 7-G Rockville, Conn.