HomeMy WebLinkAboutSeptic New 44 Breezy 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. � 1 ,
TO THE BUILDING DEPARTMENT: Date (7 r 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which tl `
following information is submitted: �1�f
1. Owner of Property A- Address of Owner•— —! PAi
2. Location of Property e 01re �'� + 2£ Lot. No. �f XY
3. Type of Structure v" �'
( welling,C mmercial Building,Store,etc.) No. of Bedroomsv
�.
4. Number of Families or Persons to Occupy Premis s_
5. Plumbing Fixtures: Water Closets Urinals Lavatories_ Bathtubs�� '
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other >•
6. Liquid Capacity of Septic Tank jib Material of Septic Tank0Hc ►'f ra�►
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 Classification of soil
11. Minimum square feet of effective seepage area required
@
12. Leaching System: Number of trenches Length � Width, re' Total U
Other
Signature c
(Licensed Ins r)
(Sketch showing all minimum distances and other details required below)
x
L
t
Permit Issued 19 By 4.
Installation Completed, Inspected and Approved 19 By
115 Ilfc
ISO.UO'
'Ad,
125
0
0
0
.Cj
24'
25'
- 50'
q DG.
55't
I
150 .00' I
B R.C..E.Z Y "ILL_
Pf=RM1T PI_,�N
LOT #124 "BIRCH HILL ESTATES"
SECTION �6 t
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" 40,
efy �� � L.S. # 4395
l 12, 1967 Rockville, Conn.