HomeMy WebLinkAboutSeptic New 160 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
Application No.- 62: f
TO THE BUILDING DEPARTMENT: Date )
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
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1. Owner of Property U '�' ""�. Address of Owner _- - Q"
2. Locaii*'Aroperty ot. No. 1 c
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3. Type of Structure -lam°����1� No. of Bedrooms
( elel in�ercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ 6i7�c"
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grindere� - .Other
6`. Liquid Capacity of Septic Tank 0 Material of Septic Tankyrz«z
F t Soil Conditions: Type of Soil _ -Z "I.) z, a GERM Maximum ground water table �2ri yc
'• (Sand,Gravel,Clay,etc.) ki
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 Z-��1✓2i� Classification of soil
11. Minimum square feet of effective seepage area required
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12. Leaching System: Number of trenches Length Widt �� Total
Other
Signature_ Y ��-
(1.4Qensed Installer) 7"
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PROPERTY OF
NO., BIRCH HILL DRIVE SOUTH WINDS0;1, CONY .
Being Lot No . 18 on map entitled "BIRCH HILL ESTAT! S Foster Street
South Windsor, Conn . Property of U t+ R Housing Corp . Scale 1 " = 100 ,
Date : Jan . 21 , 1963 Hayden L. Griswold C .F. "
Scale 1 " 50 '
HAYDEN L. GR IS WO LD C . 1;.