HomeMy WebLinkAboutSeptic New 21 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 — R 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 11 O Address of Owner
2. Location of Property I � R ' Lot. No.�_
3. Type of Structure N No. of Bedrooms
( we ling,C 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 ,// U Q Material of Septic Tank w n c t ,-- -e /�rro v)
7. Soil Conditions: Type of Soil /-/D y- J c 2 c jj I`e 1 5 aximum ground water table(Band,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 drain.or embankment
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10. Percolation Tests: Time for 1" drop in soil test �+ i n/ Classification of soil
11. Minimum square feet of effective seepage area required U 2 Q �LC
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12. Leaching System: Number of trenches Length 2 G Z Width Total 4!�S S
Other Z 46 Z.
Signaturecll—��
(Licensed Installe )
(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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� PROPERTY OF
Ito 13IRCH HILL DRIVE SOUTH 1ti'INDSOR,CON .
Being Lot No . ^ on map entitled "BIRCH HILL }::STATLS foster Street
South Windsor, Conn . Property of U 6, R Housing Corp. Scale 1 " = 1001
Date: Jan 211 1963 Hayden L . Griswold C .
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