HomeMy WebLinkAboutSeptic New 41 Orchard Hill Drive TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. z 7
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TO THE BUILDING DEPARTMENT: Date �� 19 6
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: �+hail e s 2 Qr 1 h-`I"
1. Owner of Property — Address of Owner yr
2. Location of Propert tY' S � - Lot. No.S/
3. Type of Structure No. of Bedrooms `
(Dwelling,Commercial Build g,Stor .)
4. Number of Families or Persons to Oc upy Premises_ �� le 3r 0 e rr(
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs_
Showers Kitchen Sinks�� Laundry Tubs Garbage Grinder 11/4M Other
6. Liquid Capacity of Septic Tank_ Material of Septic Tank-0 /> c r-e
7. Soil Conditions: Type of Soil �' zJ C Maximum ground water table
(S nd,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well t��ot�otOi-c- 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 L/ � I N Classificat"on of soil 5 r' 7
11. Minimum square feet of effective seepage area required / C7
12. Leaching System: Number of trenches Length Width Total
Other Z e y ' Z S/,0
Signature���/
(Licensed Install
(Sketch showing all minimum distances and other details requi below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
t~aR� BUILD -
Z IN PURPOSES ONLY
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�0.41 ORCHARD FILL DRIV7 :;UU`f11 k'T`dl).it?K, C. NV ,
Being Lot N on reap ent:itlod "Map oi' OAK RTI1iTi �;ST:t'FES Foster St.
South Windsor, Conn . >cale : 1 " = 40 ' Sept. 5, 14)b3 Hayden L.
Griswold
Scale : 1 " = 40 '
HAYDEN G . N. r:,