HomeMy WebLinkAboutSeptic New 50 Timber Trail TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. ��Fce TO THE BUILDING DEPARTMENT: Date. 9-)� L ? - 1964
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
oBT. L�TF�Q W/ct/y EQ
1. Owner of Property Address of Owner
2. Location of Property r c SD r'1 8/L aalL Lot. No.
3. Type of Structure e No. of Bedrooms
(Dwelling, mmercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories_ Bathtubs
Showers / Kitchen Sinks Laundry Tubs Garbage Grinder _ Other
6. Liquid Capacity of Septic Tank--_Z2_5-7
/ / Material of Septic Tank
7. Soil Conditions: Type of Soil !. zr el ed— J c a,v J Maximum ground water table
(Sand, ravel,clay,etc.)
8. If not served by public water supply: Distance from Owner's well �u U LI 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 / O/ Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length ��l�_ Width Z/Z Total
Other
Signature
(Licensed Ins 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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LOT #183, BIRCH HILL ;STAEs
SECTION #4
TOWN 0? SOUTH riINMSCR, vaN1YECTICUT
SCALE: 1rr 40'
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