HomeMy WebLinkAboutSeptic New 231 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. ( + 1 19 t R
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of PropertyUi R 1:4.n to g I yt) a Address of Owner_ 1 1C1 (��►I �LG�
2. Location of Property t _}a ty , ,I r,COI.qN. Z3 Soot �Q�J� Lot. ,To...3. Type of Structure 1_ ry(ts- No. of Bedrooms_.(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories__o� Bathtubs
Showers_ Kitchen Sinks._ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank_ /9� Material of Septic Tank ��-
7. Soil Conditions: Type of Soil q$((Sand,Eiravel,Clay,etc.)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 2, j Classification of soil
11. Minimum square feet of effective seepage area required in d
12. Leaching System: Number of trenches
Length Width_ Total
Other
Signature
cenaed Installer)
(Sketch showing all minimum distances and other details required ow)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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LOT #157, "BIRCH HILL ESTATES", SECTION #7
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALEi 1" 40 '
L.S . #4395
Rockville, Conn.