HomeMy WebLinkAboutSeptic New 28 Birch Hill Drive a
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. ��—I:z 1�
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: L'urPK
1. Owner of Property ddress of Owner,
2. Location of PropertAl 9�'G e Lot. No.
3. Type of Structure W.e �q No. of Bedrooms
( welling,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 /�® 69 Material of Septic Tank ct-e
7. Soil Conditions: Type of Soil a Maximum ground water table
(Sand, rave lay,etc.)
8. If not served by public water supply: Distance from Owner's well �u %'/
//c 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 04nn n. Classification of soil
11. Minimum square feet of effective Seepage area required .�—®
12. Leaching System: Number of trenches__ Length Z Width 3o Total
Other
Signature
(Licensed Ins )
(Sketch showing all minimum distances and other details 1red below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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FOR BUILDING PU POSES ONLY
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PROPERTY OF
NO . BIRCH HILL DRIVE SOUJH WlNDSOR , CONN .
Being Lot No . 30 on map entitled "BIRCH HILL ESTATES Foster Street-
South Windsor, Conn. Property of U & R Housing Corp. Scale 1" 1`00 '
Dates -Jan_. 21 , 1963 Hayden L. Griswold -C.L' .
Scale 1" = 50 '
HAYDEN L'. GRISWOLD C .E,