HomeMy WebLinkAboutSeptic New 77 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._ �9
TO THE BUILDING DEPARTMENT: Date l3 19 651
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: 13^R
1. Owner of Property Lr: _ 'O" Address of Owner
2. Location of Property Z-&!!� Li. Lot. No.
3. Type of Structure No. of`Bedrooms .3
(Dwelling,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
A �1'(9io Material of Septic Tank \ � &�dA XL,
7. Soil Conditions: Type of Soil � 9 Maximum ground water table —fit
(Sa ,Gravel,Clay,a c.)
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 ISM Classification of soil
11. Minimum square feet of effective seepage area required �96�-
12. Leaching System: Number of trenches_ Length W Width _ Total_Z
Other
a
Signature
,71( censed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
-
2 �.
1411
FOR B SES NLY
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PROPERTY OF
NO. BIRCH HILL DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 7 on `map entitled "BIRCH HILL ESTATES Foster Street
s.-
South Windsor, Conn. Property of U 6 R Housing Corp . Scale 1" 1001
Date : Jana 21, 1963 Hayden L. Griswold C .E."
Scale 1" a 50
HAYDEN L. GRISWOLD C.E.
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