HomeMy WebLinkAboutSeptic New 64 Birch Hill Drive TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application`No
/
TO THE BUILDING DEPARTMENT: Date 19 -.:2— 19 C�
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 I� Address of Owner
2. Location of Property Y ( �2�d Lot. No.
3. Type of Structure No. of Bedrooms
( welTnmises
,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy P _
5. Plumbing Fixtures: Water Closets Urinals Lavatories_ Bathtubs__
Showers Kitchen Sinks� Laundry Tubs Garbage Grinder /� Other
6. Liquid Capacity of Septic Tank 5;1d � 0 Material of Septic Tank t`. �y� c
7. Soil Conditions: Type of Soil "�
YP \ ^X '� Maximum ground water table
(Sand,Gravel,C y,etc.) /
8. If not served by public water supply: Distance from Owner's wellJ r 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 ///�i .^-e Pas 'fication of soil
11. Minimum square feet of effective seepage area required /
12. Leaching System: Number of trenches Length � � Width 3Q Total s/"— X7/
Other 101
Signature
(Licensed Install
(Sketch showing all minimum distances and other details requir below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
;
�
PURPOSES ONI-Y q
FOR BUILDING Z-'
6 ' `9
900co h PROPERTY O
SuRN
1I11prtttNiltNgl�
NO . BIRCH . HI ;L DRIVE SOUTH- WINDSOR, JNN .
Being Lot No . 27 on map.. entitled ""yap of 131RCH HILL ,,STA.TES I:os.ter
Street youth Windsor, Conn , Property of U 0 t :Housing Corp. Scale : 1 "
100 Ua to : Jan. 21 , 1963 Hayden L. Griswold C . t,."
Scale 1 " 4C1
HAY1)i N L. ,RISWOLD C .to.
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