HomeMy WebLinkAboutSeptic New 106 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.
4:0
TO THE BUILDING DEPARTMENT: Date o /`/ 19 C� S
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 Owner._ ' (y
2. Location of Property b�1^ l' ��d �1 �q ��� a/q a Lot. No. d
3. Type of Structure < ' %✓ No. of Bedrooms
(D lling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories�� Bathtubs_
Showers/ Kitchen Sinks l Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank J 2 J--d Material of Septic Tank c,-� 1 ro !40
7. Soil Conditions: Type of Soil -fP- "C./ Maximum ground water table
(Sand,Gravel,Clay,etc.)
8. If not served by public water supply: Distance from Owner's well r1f c 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 Classification of soil
11. Minimum square feet of effective seepage area required Li 101
12. Leaching System: Number of trenches Length �� _ Width 3 F
Total
Other
Signaturec �1
(Licensed Ina er
(Sketch showing all minimum distances and other details requ red below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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No . ORICHARD HILL DRIVE VL SOUTH �v 1 NDSOR, CONN. �..
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Seincg Lot No. F'on map hntit1ed "kiap of OAK RIDGE ESTATES v
Foster Street South 'Windsor, Conn . (:sheet 2) Scale : 1 " 40' r
' Sei:,t. 5, 1963 Hayden L. Criswold, C. E . " m
:scale 1 " - 40' �<
HAYDEN L. CRISWOLD C. E.
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