HomeMy WebLinkAboutSeptic New 108 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.
TO THE BUILDING DEPARTMENT: Date 2� 19
A permit is requested for repair or construction of an individual sewage dispos system concerning which the
following information is submitted: ��CNaer,sprl
1. Owner of Property Address of Owner
2. Location of Propert8 Lot. No.
3. Type of Structure No. of Bedrooms
(Dwelli g,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�0_pther
6. Liquid Capacity of Septic Tan ��� Material of Septic Tanka_7� �y
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Clay,etc.) �1
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 I0 -v Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches �3 Length Z49s Width 36 Total �Z p
Other �_ 1
Signature
(Licensed In
staller)
(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, CONK .
Being Lot No, 23 on map entitled "BIRCH HILL ESTATES Foster Street
South Windsor, Conn. Property of V R Housing Corp . Scale 1 " — 100 '
Date : Jan . zX , t963 Hayden L. Griswold C .E."
Scale 1 " _ 50 ' Jv 1'( , 19ivi
HAYDEN L. GRISWOLD C .E.