HomeMy WebLinkAboutSeptic New 139 Palmer Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date
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_/� Address of Owner
2. Location of Properfy39 I L`nz-i. (�Jiz_ Giac �` Lot. No.
3. Type of Structure No, of Bedrooms
(DIT
ling,Commercial Buildin1g,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=�'j�'y-Other
6. Liquid Capacity of Septic Tank(>C'd q,-ez ? Material of Septic Tank_/Z
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Clalj,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 le L-_Classi cation of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Widt L _ Total
Other
Signature
(Licenseatnstaller) (/ f,
(Sketch showing all minimum distances and other details required below)
.3�
5�
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
1J a
6 ROSES ONLY - \
fOR BUtLDIN �
jai
i y`
r
�::.,,...; .;---• ��'��-"'' ------ ` '� `` _�.�`..� T'tie /
i
. .r
PROPERTY OF
140 . PALMER DRIVE: SOUTH WINDSOR, CONN .
Being Lot No . 60 on map entitled "BIRCH HILL ESTATES Foster Street
South Windsor, Conn . Property of U & R Housing Corp, Scale 1" 100 '
Date : Jan . 21 , 1963 Hayden L. Griswold C .E."
Scale 1 " = 50 ' QC-T �
� HAYDEN L. GRISWOLD C .E