HomeMy WebLinkAboutSeptic New 49 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. /,!:�
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: I
1. Owner of Property ( VOWN Address of Owner 94 / _ I
2. Location of Property r ` ` Lot. No.
3. Type of Structure I rtJ No. of Bedrooms I
(Dwell g,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Q-, Urinals Lavatories Bathtubs_
Showers_ Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank �'a a Y-e e
7. Soil Conditions: Type of Soil C Maximum ground water table
(Sand,Gr e1,Clay,etc.)
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8. If not served by public water supply: Distance from Owner's well ✓ I 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 Clas 'fication of soil
11. Minimum square feet of effective seepage area required 4
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12. Leaching System: Number of trenches Length Width Total
Other ��
Signature::: "��-
(Licensed In er)
(Sketch showing all minimum distances and other details quired below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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FOR BUILDING PURPOSES ONLY� r
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NO BIRCH HI A DUVE SOUTH WINDSOR, L;OV'e .
tieing Lot No . 5 on mar entit7.ed f3ITRCH ITIM, USTATES Foster Street
.South Windsor, Conn , Property of U cy R 110USTNOY Crop. Scale : 1 "
Date Nov. 14, 1961 , Harden L. Orlswold C . r',.
So ,La 1" - 100 '
f /may 7, i96 9
tlayd,rq L . Griswold , C .1:.