HomeMy WebLinkAboutSeptic New 151 Birch Hill Drive r
TOWN OF SOUTH WINDSOR
BUILDING DEPA,RTMERT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No._
TO THE BUILDING DEPARTMENT: Date y D 19
A permit is requested for repair or construction of an individual sewage disposal systeg concerning which the
following information is submitted:
v Y Address of Owner
1. Owner of Property -
2. Location of Property �.� L-2� ^ t Lot. No.
3. Type of Structure ���-Q No. of Bedrooms
( welling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ /�J ' t_4e
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder.�c�o^ -Other
6. Liquid Capacity of Septic Tank /—) ,�__Q cT�f Material of Septic Tank
7. Soil Conditions: Type of Soil `xf ��`��c�'< <� �r Maximum ground water table
(Sand,Grikel,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
12. Leaching System: Number of trenches Length Widt c_�2 _� -6-1 Total
Other y�
Signature
(Li need Installer) �
(Sketch showing all minimum distances and other details required below)
J
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
ll �
f f �
FOR gu�� G PU e
7-1
4
f d.. -314 ,
0
CAL
go
Lst
-___�.�.._.__�r...,.....
PROPERTY OF
Y0. BIRCH HILL DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 14 on map entitled "BIRCH HILL ESTATES Foster Street
South Windsor, Conn . Property of U & R Housing Corp. Scale 1" = 1O0 '
Date: Jan . 21 , 1963 Hayden L. Griswold C.K."
Scale 1"
HAYDEN L. GRISUTOLD C.E.