HomeMy WebLinkAboutSeptic New 73 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.
/ /
TO THE BUILDING DEPARTMENT: Date._ ~� 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: errs p W-Qn.t- / f
1. Owner of Propert Address of Owner_ N�/ i►C �t 8.� p
73
2. Location of Property 1rC r £ ot. No. .j�
uv _
3. Type of Structure t (iiu g No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises
5. Plumbing Fixtures: Water Closets,_ �_ Urinals Lavatories - Bathtubs
Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder /' Other
6. Liquid Capacity of Septic Tank f o !/ Mater'al of Septic Tank ( '--h c r�, v_ �j rrvw
7. Soil Conditions: Type of Soil �f t ��J aximum ground water table__
(Sa Gravel,Clay,'etc.) -Z r
8. If not served by public water supply: Distance from Owner's well k 4'[l�'- from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil testfz Classification of soil
11. Minimum square feet of effective seepage area required !
12. Leaching System: Number of trenches Length Width Total
Other / a
Signature----
(Licensed Instal
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed,Inspected and Approved 19- By
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!`ROPERTY Of
NO . 0 HARD H I LL PI' I VE �OIJTH 'W I NPR--('R, CONN.
f e i nq Lot No. �� on map ellt i t le<l "ktap of O: K. I !'Cf.. ESTATE
IS
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