HomeMy WebLinkAboutSeptic New 00 Norman Drive (3) A TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. 3
TO THE BUILDING DEPARTMENT: Date._ (TC 1- 3 19 ro <
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 �� /r'�rL j,i.,te r /A/ddress of Owner /%''z�%zc/�.e.1
2. Location of Property z.zjti /` z t' (l� Lot. No..
3. Type of Structure -No.
of Bedrooms
(Dwelling, mmercial Building,Store,etc.)
r
4. Number of Families or Persons to Occupy Premises_ -J ?ia--
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry /Tubs Garbage Grinder.- '--E•Other
6. Liquid Capacity of Septic Tank c�e(-) - }��C _ Material of Septic Tank kri������o-
7. Soil Conditions: T l<a ti�
Type of Soil- - ! � z- fJ Maximum ground water table
(Sand,Gravel,Clay,a c.)
8. If not served by public water supply: Distance from Owner's well 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 /4"1, ? yL._ /Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Widt Total
Other
Signature /%'21-f-Z�G
2 I-
( ensedInstaner)
(Sketch showing all minimum distances and other details required below)
Permit Issued —2&12e /d ^ZJ 19103 By W d
Installation Completed, Inspected and Approved 19 By
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PROPERTF OF
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NO. NORMAN DRIVE SOUTH WINDSORO COINX*
Being Lot No, 81 on map entitled FHap of VALLEY VIEW FARMS Ellington
Road South Windsor , Conn. Property of Emma Palmer & Kenneth Palmer
Scale 111 - 801 Nov. 1 � 1960 Hayden L. Griswold C.E."
Scale 1" 501
HAYDEN L. GRISWOLD C.E.