HomeMy WebLinkAboutSeptic New 4 Timber Trail TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System 16Y 70
Application No.
y
TO THE BUILDING DEPARTMENT: Date. � 19
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 Address of OwnerNG'>h �G
2. Location of Property � A-7 Lot. No., i t
3. Type of Structure %A►e "' No. of Bedrooms
Dwellin ,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 2-- Urinals Lavatories Bathtubs
Showers_ Kitchen Sinks / Laundry Tubs Garbage Grinder Other _
6. Liquid Capacity of Septic Tank,?." Material of Septic Tank O .1 rY 7 t4,w
7. Soil Conditions: Type of Soil S=�'V 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
10. Percolation Tests: Time for 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required n4617 d
12. Leaching System: Number of trenches Length c Width Total
Other
Signat
(Licensed In r
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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TIMBER TRAIL.,.
PERMt� Pt_R�
LOT# 119, BIRCH HILL ESTATES
SECTION #4
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1"= 401
L.S.#4395
TANUARY 31 , 19(.7 ROCKVILLE, CT.