HomeMy WebLinkAboutSeptic New 78 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
Appliceft n No.
TO THE BUILDING DEPARTMENT: Date 19
A permit is requested for repair or construction of an individual sewag isp al system concerning which the
following information is submitted: .�t��yAM
1. Owner of Property Address of Owner_
2. Location of Propert L ' 7:Z4 d Lot. No. c(o
3. Type Of Structure r welling,Commercial ding,Store,etc.) NO. Of Bedrooms
4. Number of Families or Persons to Occ py Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank ��
Material of Septic Tank '
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Cla I
etc.)
8. If not served by public water supply: Distance from Owner's w 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 efictive seepage area required
i
12. Leaching System: Number of trenches Length Width Total Jr- f1 j
Other
Signatur
(Licens dInstaller)
(Sketch showing all minimum distances and other detai s required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
� k
t{a � ,
i
V.
, u N !C/
N F
9„ /fie• �;��•30' - - �
47
'ell
TE
� -
1
,�9"fD t PROPERTY OF BUILDING PURPOSE ONLY .
NO, BIRCH HILL DRIVE SOUTH WINDSOR, CON
Being Lot No. 26 on map entitled "BIRCH HILL ESTATES Poster Street
i t
South Windsor, Conn . Property of U R Housing Corp. Scale 1 " 100 '
Date: Jan . 21 , 1963 Hayden L. Griswold C.E."
Scale` 1" _ 50 '
HAYDEX L. 4RISWOLD C.E. rt
a�