HomeMy WebLinkAboutSeptic New 29 Orchard Hill Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal Syst m
Application No. 7ed
TO THE BUILDING DEPARTMENT: Date._ Z 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 Addres of2Owne
2. Location of Property e Lot. No. S
3. Type of Structure --° No. of Bedrooms
(Dwe ing,Commercial Building tore tc.)
4. Number of Families or Persons to Occupy Premises-- —s� � �0
5. Plumbing Fixtures: Water Closets Urinals �_ Bathtubs '
Lavatories—
Showers Kitchen Sinks` Laundry Tubs_ Garbage Grinder /Vc ther
6. Liquid Capacity of Septic Tank Material of Septic Tank 0,7
7. Soil Conditions: Type of Soi Maximum ground water table
Gravel,Cld y,etc.) l
8. If not served by public water supply: Distance from Owner's well q10 1 4- from adjacent wells
9. Distance to nearest water course, drainage ditch, storm dr 'n or embankment
10. Percolation Tests: Time for 1" drop in soil test Classification of poiler Y C v i-
11. Minimum square feet of effective seepage area required 7
12. Leaching System: Number of trenches Length Wi . Total
Other �`S 2��Z Je 7 A/
Signature
(Licensed Installer
(Sketch showing all minimum distances and other details required Blow)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
39.' SSA•• A .\ E �� LIMT
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IN 6*CH,XRT !TILL DR-11F, South x'i.ridsor, Conn
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Being Lot No. 58 on trap entitled " tap of );1K ';? roster St.
r South �;"incisor, Conn. Scale: 1 " _ 40 ' Sept . 5 . 11163 F?avden L. y
�• . Griswold
`, Scale : 1 " = 401