HomeMy WebLinkAboutSeptic New 118 Orchard Hill Drive s
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: Date G � / Z 19 6S--
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: P-,A Ctle)4v,)
1. Owner of Property Address of Owner_
2. Location of Property r !!�� Lot. No._�_
3. Type of Structure w e No. of Bedrooms._
Dw ling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets "Z Urinals Lavatories 2— Bathtubs _
Showers / Kitchen Sinks_ _ Laundry Tubs Garbage Grinder �) Other
6. Liquid Capacity of Septic Tank � _r7 Material of Septic Tank ( o-A C r Z- y�'o c✓
7. Soil Conditions: Type of Soil SW I-,d — T V ,Y vC Maximum ground water table
(Sand,Gravel,Qjjay,etc.)
t
8. If not served by public water supply: Distance from Owner's well u 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 -� —N i N Classification of soil
11. Minimum square feet of effective seepage area required f-
12. Leaching System: Number of trenches Length, Width_ Total
Other -.3 ��/ z�a ✓Q��
Signature
2:1
(Licensed Installer
(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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PROFLRIY OF
NO . ORCHARD HILL ROAD SOU TH tiv I Ni)SOR, CONN .
Re i tj<t Lot No. y on mad ent of OAK K I i)bE ESTATES Foster
S'•
Strc�c t .�c,uth W i ndsor, Conn . (Sheet 2) :�c d I : ! " 4C ' Seat . i, 1963
Hayden L . Griswold C . L . "
Scale " _ 40
HAYDEN L . GR ISWOLD C . E . /
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14110 A?
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PROPERTY Or
NO. ORCHARD HILL ROAD
SOIf7H +� IN}): UR, CONN .
Bp i n<; Lot No. 9 on map entitled "Mar, of OAK K I DGE. LS fATE> Foster
Street South Windsor, t onri . (Sheet 2) accj I , : 4( ' Sept. . S, 1963
Hayden L. Griswold
Scale 1 " 40' t
f / X
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HAYDEN L. GR ISWOLD C . L .