HomeMy WebLinkAboutSeptic New 61 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.
TO THE BUILDING DEPARTMENT: Da /O/ 19��
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: N0-% lA 6 e ry*-r
I. Owner of Property ress Pf Owner
2. Location of Property r �f
Lot. No.
3. Type of Structure l-�-fC�
(Dwellin ,Com ercial Building,Store,etc.) No. of Bedrooms
4. Number of Families or Persons to Occupy Premises_.
5. Plumbing F'xtures: Water Closets_ Urinals Lavatories-2- Bathtubs_
Showers / Kitchen Sink s Laundry Tubs Garbage Grinder LOther-
06. Liquid Capacity of Septic Tank_ Material of Septic Tank rt, t ��� W
7. Soil Conditions: Type of Soil rzL"4L Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served b y�y public water supply: Distance from Owners well Tu I/i 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_.AAn� n Classification of soil
11. Minimum square feet of effective seepage area required S�Z?
12. Leaching System: Number of trenches Length Width 2 d "o Total
Other
Signatur
a�
(Licensed Install
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
90- 9 0'
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04 60N/yf;
-r' 4 PROPERTY OF FOR
i
N0. ORCHARD HILL DRIVE b
SOUTH WINpSOR , CONN.
Being Lot No. 56 on snap entitled "Map of OAK RIDGE ESTATES
South Windsor, Conn. Scale : 1 " 40' Sept. 5, 1963 Hayden L.
Griswold C. E." Sheet
HAYDEN L. GRISWOLD C.E.
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