HomeMy WebLinkAboutSeptic New 11 Timber Trail TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal SystemYA"o,
Application No.
TO THE BUILDING DEPARTMENT: Date. .Ss — 19 66
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: f
1. Owner of Property — Address of Owner Y'
2. Location of Property �` �C' _� /r—t Z Lot. No.
3. Type of Structure �' No. of Bedrooms `I
(Dwells g,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets �� Urinals Lavatories_ Bathtubs_
i
Showers Kitchen Sinks / Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank_S C1 Material of Septic Tank t, )I >-e.� r c� �;
7. Soil Conditions: Type of Soil N 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 Classificat' n of soil
11. Minimum square feet of effective seepage area required— ��
12. Leaching System: Number of trenches Length r Width Total�tia
Other
Signature Z" /
(Licensed Installer
(Sketch showing all minimum distances and other details required ow)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
/ OTHER i-AND OF' OF R NDUSiNG coRFz
L-2o.00 --------
14� --------3b �141
/ a
Q
Ozs 3Z. in
-
Q
55'.
L_49.51' ( - - --
19-7 . 88'
C3 E R T R A l
LO. #142, .BIRCH HILL ESTATES
SECTION #4
T04N OF SOUTH WINDSOR, CONNyC'.ICUT �
S C:'LL 1" — 40'
�C r Rockville , Conn.