HomeMy WebLinkAboutSeptic New 97 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.� 9�
TO THE BUILDING DEPARTMENT: Date �j �'�� 19 �-
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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 Address of OWr ��
2. Location of Propert i ��`
3. Type of Structure � e- /V Lc Lot. No._ _
No. of Bedrooms_
(Dwe 'ng,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises-
5. Plumbing Fixtures: Water Closets_ �_ Urinals Lavatories Z
Bathtubs_
Showers_/— Kitchen Sinks,_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tanl�_� 00 Material of Septic Tank CLl C r-C
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7. Soil Conditions: Ty
pe of Soil �'�-- Maximum
$and%ravel,Clay,etc. ?? ground water table
8. If not served by public water supply: Distance from Owner's well t t ( 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_ �i.Z ,L Classification of soil
11. Minimum square feet of effective seepage area required 5 q
s
12. Leaching System: Number of trenches_____ Length Widtl>_ Q YY Total
Other
Signature
(Licensed Install
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PROPERTY Of- "
NO. ORCHARD HILL 0K I VF SOUTH w I NDSOR, CONN .
Be i rya Lot: No. 53 on Reap eni. i t It-ki `rMav of OAS R IDvE EST,';:TES Foster
Street W i rncisor , Conn (5hec=t. 2) ;-ca I 1 •' - 40 • Sept . 5, 0- 63
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Hayden L . Gri ,-;woi(i C . E . "
Seale I " 40 ' �� ,r' 'Crr ��' r •`'
HAYDEN L . GR ISWOLD C ,E: .
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PROPER
NO. OF
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NO. ORCHARD HILL DRIVE SOUTH WINDSOR, CONN , x
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Bel% Lot No. 53 on map entitled "Mai, of OAK RIDGE ESTATES Foster `
s
Street South Windsor, Conn. (Sheet Z) Scale : ! " 40 ` Sept . 5, 1463
Hayden L . Griswold C .E . "
S ca l a 1 " - 40'
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HAYDEN L . OR ISWOLD C ,E ,
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