HomeMy WebLinkAboutSeptic New 118 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
Applicati No. `s /`
TO THE BUILDING DEPARTMENT: Date 19�
A permit is requested for repair or construction of an individual sewage posa system concerning which the
following information is submitted: C "SIF
1. Owner of Property Address of Owner " � "l ` gz
2. Location of Property Lot. No. oZo2-1
3. Type of Structure No. of Bedrooms
(Dtommercial Building,Store,etc.)
4. Number of Families or Persons to Occupyes_
5. Plumbing Fixtures: Water Closets Urinals Lavatories y Bathtubs
Showers y Kitchen Sinks L. Laundry Tubs Garbage Grinder -n Other
6. Liquid Capacity of Septic Tank. Z d Material of Septic Tank '&a
7. Soil Conditions: Type of Soil Maximum ground water table !-AE�
(Sand,Gravel,Clay, )
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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 f ,/ Classification of soil
11. Minimum square feet of effective seepage area required (t�
12. Leaching System: Number of trenches Length -�� Width1_ Total 31
Other
Signature
(License staller)
(Sketch showing all minimum distances and other details equired below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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EUR BUILDING PIJRP04ES ONLY
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PROPERTY OF .
NO. BIRCH HILL DRIVE SOUTH WIYDSOR, CONN .
Being. Lot No . 22 on map entitled "BIRCH HILL ESTATES Foster Street
South Windsor, Conn . Property of U R Housing Corp. Scale 1 " = 100 '
Hate: Jan , 21 , 1963 Hayden L. Griswold C.E."
Scale 1" s 50 '
HAYDEN L. GRISWOLD C. E. �� D
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