HomeMy WebLinkAboutSeptic New 236 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 rJ P' � / 191 p
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 U/�f I? + n q Address of Owner
2. Location of Property_(f3 J� � �qr�qY� �,�3b
co'7T' /L� Lot. No._/h/
3. Type of Structure a
Q(Dwelling,Commercial Building,Store,etc.) No. of Bedrooms
4. Number of Families or Persons to Occupy Premises_.
5. Plumbing Fixtures: Water Closets_ C2 Urinals
__. Lavatories_____ Bathtubs,_
Showers Kitchen Sinks / Laundry Tubs Garbage Grinder
Other
6. Liquid Capacity of Septic Tank /27 S� _Material of Septic Tank n,
7. Soil Conditions: Type of SoilA&RD
(Sand,�qGravel,c(LClay,etc.)� �q 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 'K
Classification of soil
11. Minimum square feet of effective seepage area required a1T�
12. Leaching System: Number of trenches
Length 99/O Width_._ ik
I, S
Other Total
Signature
(Licensed Install
(Sketch showing all minimum distances and other details re ed below)
Permit Issued 19 By
Installation Completed, Inspected and Approved_, 19 By
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LOT 161p "BIRCH HILL ESTATES" , SECTION #7
TOWN OF SOUTH WINDSOR, CONNEC: 'iCUT
SCALEs 1" 40 ,
.. .:. L.S . #4395
��' � Rockville, Conn.