HomeMy WebLinkAboutSeptic New 00 Palmer Drive (2) r
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMEN-T
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.� ��iJ /
TO THE BUILDING DEPARTMENT: Date. C `"L / 19 (v,Y
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. /,rt�, Address of Owner
2. Location of Property / a,6 y Le i l -r't. �i ����� Lot. No. SIT
3. Type of Structure 1 "`t'1 No. of Bedrooms
(Dwelling,coilnercial Build ,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
t
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grindeh~.-' c Other
6. Liquid Capacity of Septic Tank. /^ A�) Material of Septic Tank &"4fl le ,','-
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Cl Ay,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 S�:• 7VI.4 71 Classifteatinnj df soil
11. Minimum square feet of effective seepage area required 5 _ - {
12. Leaching System: Number of trenches Length Width Total
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Other
Signature '/-" �'` :.t-s2t�n-.� �L.�zt��'cz-s. �'_, A?,
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(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 40 By
Installation Completed, Inspected and Approved 19 By
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P SAS 60-000 bl
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4hrriyHrhltlNltH`����������� PROPERTY OF
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No. PALMER ;DRIVE
@; SOUTH WINDSOR, CONN .
wing Lot No. 58 on map entitled "BIRCH HILL ESTATES roster Street
"�4outh Windsor, Conn . Property of U v R Housing Corp. Scale 1 " 100 ,
:bate; Jan . 21 , 1963 Hayden L. Griswold C .E. "
Scale 1 " 50 '
v HAYDEN L. GRISWOLD C .R .
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