HomeMy WebLinkAboutSeptic New 6 Birch Hill Drive f TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. u
TO THE BUILDING DEPARTMENT: Date -!R "-,r- 19 6s�
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: 2)1VA1b R,
1. Owner of Property \- I Address of Owner
2. Location of Propert3i� `\r "\ 1 Lot. No. 2
3. Type of Structure \ )� e ' 1 )�9 No. of Bedrooms_
(Dweili ,Commercial 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 CJ ! a Material of Septic Tank CO 17 C-rt -e rr.
7. Soil Conditions: Type of Soil S' /04 Maximum ground water table
(Sand,Gravel,Clay,etc.)
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8. If not served by public water supply: Distance from Owners well from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment Q
10. Percolation Tests: Time for 1" drop in soil test 9 Classification of soil
11. Minimum square feet of effective seepage area required�� to�-
12. Leaching System: Number of trenches Y Length 160'e Width �y Total
Other
Signature -44
(Licensed Installer)
(Sketch showing all minimum distances and other details required )
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19,^,'_ By
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FOR BUILDING PURPOSES ONLY
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PROPERTY OIL' �.
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NO. BIRCH HILL DRIVE SOUTH WINDSOR, CONK .
Being Lot No . 32 on map entitled "BIRCH HILL ESTATES Foster
Street South Windsor, Conn . Property of U to It Housing Corp.
Seale 1 " 100 ' Date: Jan . 21 , 1963 Hayden L. Griswold C .
Scale 1 " — 50 '
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HAYDEN L. GRISWOI_D C E.