HomeMy WebLinkAboutSeptic New 9 Birch Hill Drive 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 3 — g- 19 3r-
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 Owner_
2. Location of Property �-a Lot. No.
3. Type of Structure Gv ! !1/ No. of Bedrooms
(Dwelling, ommercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 2 Urinals Lavatories Z— Bathtubs _
Showers_` Kitchen Sink s Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Fa 0 Material of Septic Tank o c
7. Soil Conditions: Type of Soil h�t o rr z c '«1 an- Maximum ground water table
(Sand, ravel,Clay,etc.)
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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 G i n Classification of soil
11. Minimum square feet of effective seepage area required Z-/
12. Leaching System: Number of trenches Length2-07 _ Width G Tota
Other Z/b
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details requi w)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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FOR BUILDING PURPOSES ONL ap n �i Y
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PROPERTY 01'
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NO . BIRCH HILL. DRIVE SOUTH WINDSOP , CONIti . �
Being Lot No. , 1 or;t map entitled "HIRCH HILL „STATLS Foster Street
South' Windsor, Conn. Property of U rj R Housing Corp . Scale 1" = too ,
Dates Jan . 2 1 , 1963 Hayden L. Griswold C . K."
1: Scale 0 50 ' 64
HAYDEN L. GRISWOLD C.L.
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