HomeMy WebLinkAboutSeptic New 18 Birch Hill Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
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Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date 19�
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: �R�Kf10�1
1, Owner of Property Address of Owner
2. Location of Property / ���+��— Lot. No.
3. Type of Structure N No. of Bedrooms
( wellin ,Commercial Building,Store,etc.)
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4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories 2 Bathtubs_
Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
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6. Liquid Capacity of Septic Tank ,d a Material of Septic Tank o t -t . a
7. Soil Conditions: Type of Soil�evJ c-e d fJ—d- Maximum ground water table -
(Sanclg Gravel,Clay,etc. e J J_a_
8. If not served by public water supply: Distance from Owner's well u It i- 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 Classification of soil
11. Minimum square feet of effective seepage area required 6 d
12. Leaching System: Number of trenches Length 94# Width `Q Total Z 2-
Other 0
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details requi ow)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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NO BIRCH WILL, OUV'' TI 1:r0:)0t?�
Being Lot No . 22 on asap entitled "BIN:,It )TILL Foster Street
s South Windsor.. Conn. Property of U 6' It Housing Corp. Scale 1 " 100 '
Date J, n. 21 , 1963 iiayden L. Griswold � . . . "
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HAYDEN L. GRISt'OLD C . K.
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0 . BIRCH H L1, )'( Its 0 !> R N,
Being Lot No . 22 on map entitled " 13 i ' l;l{ 111LL `:iTATi;:i Foster Street
South V.'indsor, Conn . Property of U to R Housing Corp. kale. 1 " 1001
Date : Jan . 1 , 1963 HavIen L. Griswold C .F.
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HAYDEN L . G .ISI-' L:i
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