HomeMy WebLinkAboutSeptic New 61 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
Applicati No.
TO THE BUILDING DEPARTMENT: Date
A permit is requested for repair or construction of an individual sewage dispo al system concerning which the
following information is submitted �— )
1. Owner of Property Address of Owner /
2. Location of Proper* 1 Ys— Lot. No.�
3. Type of Structure No. of Bedrooms
(Dwelling,C mercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavat'orie,s� , — Bathtubs
Showers — Kitchen Sinks Laundry Tubs — Garbage Grinder✓rin'� ther
6. Liquid Capacity of Septic Tan Material of Septic Tank yo-�krQc3
7. Soil Conditions: Type of Soil %e Maximum ground water table
and,Gravel,Clay .)
8. If not served by public water supply: Distance from Owner's wel �� 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
12. Leaching System: Number of trenches Length
/l0 3` Width--,: Total
Other
Signature ( .
(Licensed Zired
taller)
(Sketch showing all minimum distances and other details r below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19_„— By
f.
idAy
--- 'ta
u�r6 UNL1t.1
b
_ o
1
?. 4
-
PROPERTY OF
NO. BIRCH HILL DRIVE SOUTH WINDSOR, CONN .
Being Lot No . 6 on map entitled "BIRCH HILL ESTATES Foster Street
South Windsor, Conn . Property of U & R Housing Corp. Scale 1" s 1001
Date : Jan. 21 , 1963 Hayden L. Griswold C.F."
Scale 1 " = 501
HAYDEN L. GRISWOLD C.E,
if ./1