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Septic New 38 Orchard 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. "V TO THE BUILDING DEPARTMENT: Date_ l Z- — Zf 19�� A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: J o�,n CO6;t,, 1. Owner of Property _ Address of Owner_ s`%'/l• c k T Psi :7t 2. Location of Property Z 3 ILV Lot. No. 3. Type of Structure C-v vl/ No. of Bedrooms_ (Dwe ling,C mrnercial Building,Store,etc.) 4. Number of Families or Persons to Occupy Premises 5. Plumbing Fixtures: Water Closets Urinals Lavatories Z Bathtubs_ Shower Kitchen Kitchen Sinks_, Laundry Tubs Garbage Grinder /� Other a _ 6. Liquid Capacity of Septic Tank / Zz 54g s Material of Septic Tank C ` le r �r �Yro✓ 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 &I 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 Classifi ation of soil 11. Minimum square feet of effective seepage area required 1 77 12. Leaching System: Number of trenches. J_ Length 1,77 Width Z ��- Total 6 �� Other Signature (Licensed Install (Sketch showing all minimum distances and other details required below) 3° 46 Permit Issued 19 By Installation Completed, Inspected and Approved 19 By e A V,)S 4C tin o a L0 a 30' i Sb, Lo Ld V `" `42ul l Al Cl() 19 0 35,, ti3 s1faw�? 3 OILL i PROPERTY OF NO. ORCHARD HILL DRIVE - SOUTH WINDS©R, CONN`. Being tot No. 3 on map entitled "Map of OAK RIDGE ESTATES Foster Street South Windsor, Conn. Scale: 1"s40' Sept. 5, 1963 Hayden L. Griswold C. E. Sheet I" Scale 1" 40 1965 y=. HAYDEN L. GRISWOLD C.E. ! tierehy c^rtiiy ',Ims map to be Lt.s`3nt�a1� , and thet no -...iR4-E