HomeMy WebLinkAboutSeptic New 141 Birch Hill Drive TOWN OF SOUTH WINDSOR
BUILDING DEPARTMEN-T
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No,_
TO THE BUILDING DEPARTMENT: Date__— ;-p 194
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: .77/Mitsy Q �F�A
1. Owner of Property Address of Owner d Jf Ct
2. Location of Property Lot. No.
3. Type of Structure No. of Bedrooms Iq
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets : Urinals Lavatories l Bathtubs
Showers L_ Kitchen Sinks_ Laundry Tubs_Z Garbage Grinder _tam, Other
6. Liquid Capacity of Septic Tank. o Material of Septic Tank -1.rci1� �
7. Soil Conditions: Type of Soil Maximum ground water table _
(Sand,'GgPlel,Clay,etc.)
4
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. • Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches o�- Length /Sy° Width Total -fcF��
Other �� 'ell
Signatur L 6
( nsed I
(Sketch showing all minimum distances and other details required belaW7g7/ 2zfIY
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 _ By
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FOR BUILDING PIIRPOSE ONLY
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N0 .11* 13TRCH HILL DRIVE 5iOUTH WIHDS011 , CONN.
4einEl Lot No . 13 on May, entitled "BIRCH HTi,1 1,SYATES Foster Street
South I%'indsor , 'onn . Property of U t- R Housing Go► p. >ca. le l " = lilt' s
Date Jan . 21 , 1 96.3 Havden 1, .:riswold
Scale 1 " 50 '
HAYDEN 1,.