HomeMy WebLinkAboutSeptic New 00 Palmer Drive L
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application
TO THE BUILDING DEPARTMENT: Date l
A permit is requested for repair or construction of an individual sewage dispos 1 system concerning which the
following information is submitted:
1. Owner of PropertydAe Address of Owner ///G
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2. Location of Property Lot. No.
3. Type of Structure No. of Bedrooms—_ •
(D�yE�ing,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupyl!//Premises_ h-4--Q
5. Plumbing Fixtures: Water Closets '- Urinals Lavatories Bathtubs .—
Showers Kitchen Sinks Laundry Tubs Garbage Grinde Other
6. Liquid Capacity of Septic Tan q 0 6 Material of Septic Tank��
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand, ravel,C etc.)
8. If not served by public water supply: Distance from Owner's we� 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 f .y+�0 Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches 3 Length s Width Z/ Total T os
Other ,,/
Signatur 471 ' �� 0
(Licen Installer)
(Sketch showing all minimum distances and other detai s required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19_ By
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PROPERTY OF
NO. PALMER DRIVE SOUTH WINDSOR, CONY .
Being Lot No. 53 on map entitled "BIRCH HILL ESTATES Foster Street
South Windsor, Conn. Property of U R Housing Corp . Scale 1 " 1001
Date : Jan. 21 , 1963 Hayden L. Griswold C .E. f'
Scale 1" = 50 '
HAYDEN L. GRISWOLD C.E.