HomeMy WebLinkAboutSeptic New 71 Breezy Hill Drive TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut '
Application for Permit to Install or Repair Individual Sewage Disposal Systeni�//4P�4
Application No.
TO THE BUILDING DEPARTMENT: Date. 19
A permit is requested for repair or construction of an individual sewage disposal system concerning whit the
j following information is submitted:
� 1. Owner of Property_-Gi/ �" Address of Owner
2. Location of Propert Lot. No.
3. Type of Structure , No. of Bedrooms
(Dwong,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories vZ_ Bathtubs
Showers� Kitchen Sinks,_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank
7. Soil Conditions: Type of So' Maximum ground water table
(S d,�GraLvelclar 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
f too
11. Minimum square feet of effective seepage area required ��� ,�.�..t .!�!-�...�. tE-, 0
12. Leaching System: Number of trenches Length1 c', 0 Width ��d�a Total_
Other � —
Signature
( cense Installer)
(Sketch showing all minimum distances and other details requ' ed below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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/j/ BREEZY HILL R-6-� bf
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PERM/7- PLAN 1 i
LOT #135, "BIRCH HILL ESTATES," SECTION #6
TOWN OF SOUTH WINDSOR, CONNECTICUT
E Scale: 1" 40'
4395
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AUG. 3 j 1967 Rockville, Conn
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