HomeMy WebLinkAbout130 Scott Drive (2) }
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. 4�/S� 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 Owner7l/ �&i"d e S4&K-
2. Location of Property c S—Tr -b-t Lot. No. 1 3 d
3. Type of Structure w 'e No. of Bedrooms
(Dwelling Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 0'2— Urinals Lavatories_ Bathtubs_
Showers_ Kitchen Sink s_, Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank f.2 -5-0, Material of Septic Tankc�
7. Soil Conditions: Type of Soil 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 rain orembankment
10. Percolation Tests: Time for 1" drop in soil test J Classification of soil
11. Minimum square feet of effective seepage area required -51�=
12. Leaching System: Number of trenches Length 2 2--5— Width e ` Total -7 4/.0
Other
Signatur
(Licensed! er)
(Sketch showing all minimum distances and other details required below)
= e
C --
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
f�
s.
,�
�r
C�,.`•
s- ..
�...
�.,a _
n: ;r
y( �♦
.,,.
t•f
t.. -
t
w
;`
�t D. gaidnot,
w £ ✓
48 Hale Sheet Rockville, Connecticut Tel. 875-W2
/3,0 /3 Y-/3 z
�u Zos
Tt
lo'Z
i
i3o i i �
� + 1
'A Ep y -- -� 01 �29
fN
53'f
�•� 11w.21 I
�s2 L
LOT #130, "BIRCH HILL ESTATES"
SECTION #6
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" = 40'
L.S. # 4395
pril 12, 1967 Rockville, Conn,
;n
�N
��PG� 2,1 S•7A`
ev
v1 '�
23'
U
�0 F�
�\ 40'
9 ! ! �q
waf
MORTsA:;E SURVEY
LOT #130, "BIRCh HILL ESTATES"
SECTION #6
TOWN OF SOUTh WINDSOR, CONNECTICUT
SCALE: 1" - 40'
Certified substantially correct .
Building located as shown .
Zonin.; rc>;ulations not violated .
.c tea-1 � •c�._- L.S . # 4395
May 18, 1967 Rockville, Conn.
1�l
f
�uP 21S•
i3o
'A �p 01 �29
v
Cc'y a w
G � s2� tiN
25' I
o 10
53't I
PQP-M `T- PLAN
LOT #130, "BIRCH HILL ESTATES"
SECTION #6
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" 40'
L.S. # 4395
Aril 12, 1967 Rockville, Conn.
i