HomeMy WebLinkAboutSeptic New 40 Timber Trail 4
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_ l" - Z,a 19
q A permit is requested for re air or construction of an individual sewage disposal system concerning which the
following information is submitted: u� Ti4/iA9�10
1. Owner of Property C Address of Owner e: a 1v r17 es
2. Location of Property n r — � Lot. No.
3. Type of Structure L-' t No. of Bedrooms
(Dwell' g,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories aL Bathtubs _
Showers_ Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
��
6. Liquid Capacity of Septic Tan a 'a Material of Septic Tank c a c r�"T r Y
7. Soil Conditions: Type of So Maximum ground water table
(Sand,gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well I 1 ` 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 if ±i ::�ti Classification of soil
11. Minimum square feet of effective seepage area required G
12. Leaching System: Number of trenches_&,:5-- Length Z`� Width_. Total 0
Other
Signatur
(Licensed Ins er)
(Sketch showing all minimum distances and other details requ below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
19�.
!93
qb,
AX
Q f-zg Q
0 U
25' .
26i
55t ' i
� i► so , a0'
LOT # 182,BIRCH HILL ESTATES
SECTION #4
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE! 1" M 401
u,
L.S. #4395
August 12, 1966 Rockville, Conn.