HomeMy WebLinkAboutSeptic New 131 Birch Hill Drive � f
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMEN;T
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Applicati No. t/ ,/
TO THE BUILDING DEPARTMENT: Date Z 19 6 7'
A permit is requested for repair or construction of an individual sewage d's osal system concerning which the
following information is submitted: RAW
1. Owner of Property o- Address of Owner
2. Location of Propertyjm!4 131 4d" Lot. No.
3. Type of Structure . 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 Other
6. Liquid Capacity of Septic Tan D o Material of Septic TankE -� a- ,-
7. Soil Conditions: Type of Soil �►�s.+-p Maximum ground water table ^
(SdriqyGravel,Clay, c.)
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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 �J ✓1,,� Classification of soil
11. Minimum square feet of effective seepage area required .�IK
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12. Leaching System: Number of trenches °� Length Width
l Totals®
Other
Signature
(IfensedInstaler)
(Sketch showing all minimum distances and other details required below)
I
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PROPERTY OF
NO . 11TRCH HILL I)RIVF SOUTH EIINDSO[I , CO.1N .
Being Lot No . 12 on map entitled " BIRCH HTLL ':`iTiTI,-S Foster Street �e
Soutl; lvindsor, Conn . Property of U t+ R Housing Corp. Scale V = 1001
Date : Tan . 21 ) 1 963 Hayden L. Griswold l . 1;. "
Scale 1 " — 50 ,
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