HomeMy WebLinkAboutSeptic New 96 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
Applicatio No._ -1d
TO THE BUILDING DEPARTMENT: Date y3 19
A permit is requested for repair or construction of an individual sewage di sal system concerning which the
following information is submitted: LAMM Ea s
1112-11
1. Owner of Property Address of Owne : lxz ,
2. Location of Property -� ppQQ Lot. No._L
3. Type of StructureT� ',.�`� No. of Bedrooms
(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 p Other
6. Liquid Capacity of Septic Tan O O Material of Septic Tank
7. Soil Conditions: Type of Soi Maximum ground water table,
(Sand,t7ravel,Clay,etc.
8. If not served by public water supply: Distance from Owner's well(&LAZ 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 6-111,0
12. Leaching System: Number of trenches Length �sz` Width d`-��7 Total
Other
Signature
censed Installer)
(Sketch showing all minimum distances and other details required below)
AI J
o�P
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PRO PF4TY OF - <
NO . BIRCH HILT, -DKIV} r
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Being Lot No . 24 on map entitled ",BIRCH HILL ESTATES Foster Street
South Windsor, Cone . f'roPcrty of R H'busi.ngoCarp . Scale 11 100 '
Dale : Jar 21 , tlaydett I.. Griswold C .FScale
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