HomeMy WebLinkAbout1964-6-23 - 111 Birch Hill Drive - Septic ApplicationTOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. �61
TO THE BUILDING DEPARTMENT: Date 3 19-
A permit is requested for repair or construction of an individual sewage d�sal system concerning which the
i p
following information is submitted: /3 >p
1. Owner of Property p. 1 Address of Owner
2. Location of Property % Lat. NO. /
3. Type of Structure No. of Bedrooms -�
� w ,Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises
5.
6.
7
8.
9.
10.
11.
12.
Plumbing Fixtures: Water Closets_ Urinals._ _ _ _ ` Lavatories / Bathtubs_
Showers / Kitchen Sinks_[ Laundry Tubs_1_ Garbage Grinder Other
Liquid Capacity of Septic Tank " Material of Septic Tanl�] _
Soil Conditions: Type of So�i �L _Maximum ground water table
[ Gravel, Clay, e • )
If not served by public water supply: Distance from Owner's we� from adjacent wells
Distance to nearest water course, drainage ditch, storm drain or embankment
C'
Percolation Tests: Time for 1" drop in soil test Classification of soil
Minimum square feet of effective seepage area required 3 0,;'
Leaching System: Number of trenches Length ' Width a. �/;X Total y-2 .�
Other _
(Sketch showing all minimum distances and other details required below
�., A VIN
Permit
9 By.
Installation Completed, Inspected and Approved 19.
By
FOW BUILOtW
C9)
536�y:'
53.00
PROPERTY OF
NO.
BIRCH HILL DRIVE
SOUTH WINDSOR, CONN.
Being
Lot No. 10 on m
p entitled "BIRCH HILL ESTATES Foster Street
South
Windsor, Conn.
Property,
of U 6 R Housing Corp. Scale 1" = 1001
Date:
Jan. 21, 1963
Hapdeu L.
Griswold
Scale
1"' - 501
APP-11- ioi 6 (o4
HAYDEN L. GRISWOLD C.E.