HomeMy WebLinkAboutSeptic New 47 Breezy Hill Drive a ,Vk
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
ii I Application for Permit to Install or Repair Ind v Individual Sewage. Disposal System f
Application 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 r-.1tl y t °Y
2. Location of Property a I wet + gE 7/� M-h Lot. No.
3. Type of Structure IX.J ✓ No. of Bedrooms
(Dwe I
ng,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets —�---- Urinals Lavatories__ Bathtubs_
4 Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank_/ , Material of Septic Tank
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 drainor embankment
10. Percolation Tests: Time for 1" drop in soil test 1 C,,l�assification of soil
11. Minimum square feet of effective seepage area required 91 a G aG�
12. Leaching System: Number of trenches Length 2 G Width Total
OtherN:570
t
Signature
(Licensed Installer)
(Sketch showing all minimum distances and other details requir below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
OTHER L..ANo kj;R ►-i'S'C. C-ORP.
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1 50.00-
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150.00
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PEfZM�-C PLAN
LOT #137, "BIRCH HILL ESTATES, SECTION 6
TOWN OF SOUTH WINDSOR, CONNECTICUT•
SCALE: 1" 50'
ham"--- L.S. # 4395
June 1, 1967 Rockville, Conn.