HomeMy WebLinkAboutSeptic New 101 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 Sys em
Applic ion No.
TO THE BUILDING DEPARTMENT: Date `7- 19
A permit is requested for repair or construction of an individual se disposal system concerning which the
following information is submitted: W,21&# T
1. Owner of Property 41 Address of Owne
2. Location of Property Lot. No.
3. Type of Structure No. of Bedrooms
( welling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Oc py Premises_
5. Plumbing Fixtures: Water Closets t Urinals Lavatories ( Bathtubs
Showers Kitchen Sinks Laundry Tubs j Garbage Grinder Other
6 Liquid Capacity of Septic Tank �� Material of Septic Tank
7. Soil Conditions: Type of So Maximum ground water table
(S Gravel,Clay,etc
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 Ao-/ Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width Total
Other
Signat e
(Licensed to 1 ) fww
(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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PROPERTY OF
NO. BIRCH HILL DRIVE SOUTH WINDSOR, CONN.
Being Lot No. C on map entitled "PIRCH HILL 1:STATES Foster Street
South Windsor, Conn. Property of 0 fr R Housing Corp. Scale 1" 1001
Date : Jan . 21 , i963 Hayden L. Griswold C .L."
Scale 1 " 50 Ap .1� M i`ib�4Y,
HAYDr,M L. GRIStdOLD C,. E.
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PROPERTY OF
NO . BTRCH HILL D;TVE SOUTH WINIDSuli, CONN.
Being Lot No. {', can r;tap entitled "PIRC}? HILL ESTATES Fostc-r Street
South Windsor, Conn. Property of U R Housing Corp. Scale 1" 1001
Date : Jan . 21 , 1963 Hayden I. . Griswold C .E ."
Scale 1 ' = 0 1
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