HomeMy WebLinkAboutSeptic New 83 Norma Drive r, h+
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. o�
TO THE BUILDING DEPARTMENT: Date. LLL-'t-
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 A4r1 c Address of Owner_
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2. Location of Property Lot. No.
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3. Type of Structure �Z G ''`�I- No. of Bedrooms
(Dwelling,; mmercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_—,�,
5. Plumbing Fixtures: Water Closets Urinals / Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder- Other
6. Liquid Capacity of Septic Tank ?`)(o Material of Septic Tank P,1__61r11Z(- C 471-L c l'2-t_-��
7. Soil Conditions: Type of Soil Jet-L uC Maximum ground water table
(Sand,Gravel,Clay,etc.)
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 -'ayz 'L _ Classification of soil
Minimum square feet of effective seepage area required
Leaching System: Number of trenches Length Widt Z`` Total
Other
Signature
(IjensedInstaller) {
(Sketch showing all minimum distances and other details required below)
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Permit Issued zgz&T /'D-Z 3 19�u/-? By
Installation Completed, Inspected and Approved 19 By
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IN6 PURPAS�S. � !�top �.
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PROPERTY OF a��• 3ell
NO. NORMAN DRIVE SOUTH WINDSOR, CONN.
Being Lot No, 83 on map entitled "Map of VALLEY VIEW FARMS Ellington
Road South Windsor, Conn. Property of Emma Palmer Kenneth Palmer
Scale 1" a 801 Nov . 1 , 1960 Hayden L. Griswold C.E."
_
Scale 1" 501
HAYDEN L. GRISWOLD C.B .