HomeMy WebLinkAboutSeptic New 118 Palmer Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
fi South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. '�"�
TO THE BUILDING DEPARTMENT: Date / �` yL
A perx is requested for repair or construction of an individual sewage disposal system concerning which the
following ir* at:on is submitted: /��
1. Owner of Property �14C Add es of 70 ,er4l.
2. LoeetWn of Property /j G.�► Lot. No.
3 Type :Structure C No. of Bedrooms
(Dw .....,Commercial Building,Store,etc.)
r„
4. hTlmber"-of Families or Persons to Occupy Premises_
5. Plu�'Fixtures: 'Water Closets Urinals Lavatories Bathtubs
Showefs_ Kitchen Sinks__ Laundry Tubs i Garbage Grinder �' Other----
-6. Liquid:.Capacity of Septic Tank L1 G� Material of Septic Tank `� G r G/ r r el
7 Soii Conditions: Type of Soil a Maximum ground water taWp_,
(Sand,Gravel,Vlay,etc.) 1
8. If not served by public water supply: Distance from Owner's well ��� � ,i�ff om adjacent wells
9: Distance to nearest water course, drainage ditch, storm drain or embankment _
10. Percolation Tests: Time for 1" drop in soil test ) 'Ift-1 i Classifi t, of soil
j
11. .-Mi7nUntim square feet of effective seepage area required -/
12. Leaching,System: Number of trenches Length � Width 2E�1/�i Total sZ `
Other
Signature
(Licensed Installer)
(Sketch showing all minimum Alstances and other details required ow)
1 � 0
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
40
AIR
ii
FOR BUILDING PURPOSES ONLY
106 �ee�
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15
PROPERTY OF ,
NO. PALMER DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 45 on map entitled "BIRCH HILL ESTATES foster Street
South Windsor, .Conn. Property of u & R Housing Corp. Scale III = loot
Date: Jan . 21 , 1963 Hayden L. Griswold C . E. "
Scale 1 " a 509 ``
Sr--PT.
HAYDEN L. GRISWOLD C.E.