HomeMy WebLinkAboutSeptic New 111 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
Application,No. 50 /
TO THE BUILDING DEPARTMENT: Date 3 19
A permit is requested for repair or construction of an individual sewage di sal system concerning which the
following information is submitted:
1. Owner of Property Address of Owner
2. Location of Property o Lot. No.f 0
3. Type of Structure No. of Bedrooms -�
welling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals LavatoriesL / Bathtubs_
Showers / Kitchen Sinks- Laundry Tubs_ Garbage Grinder Other
6 Liquid Capacity of Septic Tan 0-0 Material of Septic Tank f
7. Soil Conditions: Type of So' Maximum ground water table-
( ,Gravel,Clay,e .)
8. If not served by public water supply: Distance from Owner's we from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for V drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required 3 O .,e
12. Leaching System: Number of trenches Length Width a�/z Total
Other
Signature
(Licensed Installer)
(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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N ONAL
PROPERTY OF
NO. BIRCH HILL DRIVE SOUTH WINDSOR , CONN.
Being Lot No. 10 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
Scale 1 ►'. z 501 �F�k i 4. c; 6(a4
HAYDEN L. GRISWOLI) C. E .