HomeMy WebLinkAboutSeptic New 276 Scott Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
3
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date 1909
A permit is requested for repair or construction of an individual sewage sposal system concerning which the
following information is submitted:
1. Owner of Property_(Jr L)"Q(.t S 1 K Address of Owner
2. Location of Property( ri 1 Cn L! aA iQ t- S)ZX SCO7r—Dj2, �� Lot. No._Z 6^1'
3. Type of Structure 1 C .L-2, G No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets �- Urinals Lavatories 2— Bathtubs _
Showers_ Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank_Z Material of Septic Tank D r)Ca 4 r
7. Soil Conditions: Type of Soil `T ,r-air Maximum ground water table
(Sand 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
i
10. Percolation Tests: Time for 1" drop in soil test C5.> r Classification of soil
11. Minimum square feet of effective seepage area required to G, K.
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12. Leaching System: Number of trenches Length 1:2 Width -7 Total t`O
Other
Signature
(Licensed7uire;
(Sketch showing all minimum distances and other details below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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150. 30'
SCOT- RVFK
LOT #164, "BIRCH HILL ESTATES" SECTION #7
TOWN OF SOUTH WINDSOR., CONNECTICUT
SCALE: 1" 40'
L.S . W4395
Rockville, Conn.