HomeMy WebLinkAboutSeptic New 259 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 � _�
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: �1
1. Owner of Property 'a9� nl H O(AS j ✓U Q Address of Owner++
2. Location of Propert/'R I R644 17 i 11 1 S'1 s Qet'E )2S9 JeoTr � ✓� Lot. No. 1615
3. Type of Structure .1)C1) 'k l-f, t YU G't No. of Bedrooms_
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets ._ Urinals Lavatories c;2 Bathtubs
Showers_ Kitchen Sinks—/— Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank la 57 Material of Septic Tank 0 NC' )e c?`,�F-
7. Soil Conditions: Type of Soil_"RDP19!2,kbQ A�l+l Maximum ground water table
(Band,Gravel,Clay,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 /i I Classification of soil
11. Minimum square feet of effective seepage area required 1O O
12. Leaching System: Number of trenches Length ZJJ0 Width o� ��_ Total .//)O U
Other
Signatur
(Licensed Installer)
(Sketch showing all minitnum distances and other details requir ow)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
0
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153 `/154`
'155) I
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L:io I(n.
174. CD7 '
SCOTT DR .
PF— M t T P�AfV
LOT #155o "BIRCH HILL ESTATES"
SECTION #7
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE i 1" 40
Rockvillet Conn.