HomeMy WebLinkAboutSeptic New 150 Birch Hill Drive t n
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. ��
TO THE BUILDING DEPARTMENT: Date 19 6/—
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: to�M s
1. Owner of Property Address of Owner
2. Location of Property ��� � ' 2�e r d.,—� Lot. No. I l
3. Type of Structure
( welling,Commercial Building,Store,etc.) No. of Bedrooms
4. Number of Families or Persons to Occupy Premises_ LT;N
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder �cf'L Other
6. Liquid Capacity of Septic Tank. `l40 ��J. Material of Septic Tank �"L� tC%tee
7. Soil Conditions: Type of Soil...-,&sue J`1� K.C� ��� Maximum ground water table
(sand,Gravel,Clay,etc.)
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 Classification of soil
11. Minimum square feet of effective seepage area required � s2
12. Leaching System: Number of trenches._ _ Length Widt � L l Total .SA
Other
Signature 6u i/2,rzc�2� -' 411,11- -z
((Licensed In alle
(Sketch showing all minimum distances and other details required below) ��z�Ci2
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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