HomeMy WebLinkAboutSeptic New 59 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.
TO THE BUILDING DEPARTMENT: Date
A permit is requested for repair or construction of an individual sewage disposal system concerning whic the
following information is submitted:
1. Owner of Property Address of Ow �r, �(�
2. Location of Property afF Lot. No.
3. Type of Structure No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets C12 — Urinals Lavatories_ Bathtubs
Showers_ Kitchen Sinks / Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan Material of Septic Tank O
7. Soil Conditions: Type of Soi Maximum ground water table
( nd,Gravel,Cla ,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 CY fnc.� Classification of soil
11. Minimum square feet of effective seepage area required_ Q
41
12. Leaching System: Number of trenches Length tx C�C7 - Widt Total
Other Z4n<1F/ e Y ° QQ
Signatur
(Licensed Ina r
(Sketch showing all minimum distances and other details re fired below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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BREEZY H ) LL
MORTGAGE SURVEY
LOT #136, "BIRCH HILL ESTATES; SECTION #6
TOWN OF SOUTH WINDSOR., CONNECTICUT
SCALE: 1" _ 40'
Certified substantially correct. 3 No. 439s
Zoning regulations not violated . gf�•sT� ID 0
Building located as shown.
L.S. # 4395
August 3, 1967 Rockville, Conn.