HomeMy WebLinkAboutSeptic New 35 Breezy Hill Drive w
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System 9f
li /App cation No.
TO THE BUILDING DEPARTMENT: Date / 19��
A permit is requested for repair or construction of an individual sewage disposal system concerning which the,.,
following information is submitted:
1. Owner of Property Address of Owner 2 u
2. Location of Property I r 0A I Lot. No.
3. Type of Structure u � l L No,
of Bedroom
(D ing,Commercial Building.Store etc.)
s
4. Number of Families or Persons to Occupy remises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories — Bathtubs. f
Showers_ Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank r/7 S� Material of Septic Tank O r= L i''o J)
7. Soil Conditions: Type of Soil 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 1 Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width Total
Other
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Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details required beI
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Permit Issued 19 By
Installation Completed, Inspected and Approved 1g By
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1 034
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z5' 24
2l' 43' 3q't
MORTGAGE SURVEY
LOT #138, "BIRCH HILL ESTATES' SECTION #6 to `.
TOWN OF SOUTH WINDSOR., CONNECTICUT �f,GD,y�
SCALE 1" 4U' X"t� i
�t n.
Certified substantially correct . _. .�
Zoning regulations not violated . No. 4395
Building located as shown. •`
to',,,
L.S . # 4395
June 21, 1967 Rockville, Conn.