HomeMy WebLinkAboutSeptic New 91 Birch Hill Drive + I
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Applicat n No.
TO THE BUILDING DEPARTMENT: Date 19
A permit is requested for repair or construction of an individual sewage os system concerning which the
following information is submitted: lNwePNy
1. Owner of Property Address of Owner
2. Location of Property Lot. No.
3. Type of Structure No. of Bedrooms_
(ITHing,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 1 .-S O Material of Septic Tank
7. Soil Conditions: Type of Soil 4 e& Maximum ground water table
(Sand,Gravel,Clay,I
c.)
8. If not served by public water supply: Distance from Owner's well 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
I 11. Minimum square feet of effective seepage area required O
12. Leaching System: Number of trenches .S Length �d Width 1 `06,. Total X0
Other ,p
Signatures-(t-L<.cJTzy �• (�G�t-fa
(LicensedI taller)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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3.
16' ell
i rOR BUfi_D�!�� 131IRPOSES ONLY
. •:p" .
PROPERTY OF 3'
N0. BIRCH HILL DRIVE SOUTH WINDSORt CONN.
Being Lot No. 8 on map entitled "BIRCH HILL ESTATES Foster Street
South Windsor, Conn . Property of U & R Housing Corp. Scale 1" 1001
Date: Jan . 21 , 1963 Hayden L. Griswold C .E." e
Scale 1" 501 f"4P,Y
HAYDEN L. GRISWOLD C .E,
i. N