HomeMy WebLinkAboutSeptic New 142 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 J - 6,7 3 19 G J
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 1 >L Address of Owner �'2C171-z> c
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2. Location of Proper y /(��' ytc 7 i % �, L L-�'��_�1-/ -�.-�. Lot. Na
3. Type of Structure �(�� ti �-� v`= - No. of Bedrooms
(Dwelling,CoZpmercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
1
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grindel.�_Other
6. Liquid Capacity of Septic Tank Material of Septic
7. Soil Conditions: Type of Soil. 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 Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Widt Total
Other
Signature 4't<t " L �-fir z.�Z,u t_._ Cl_
(Lieensed Installer)
(Sketc-b showing all minimum distances and other details required below)
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Permit Issued , /6 Z 3 19 63 By 4C �FJ
Installation Completed, Inspected and Approved 19 By
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610
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PROPERTY OF
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NO, PALMER DRIVE SOUTH WINDSOR) CONN .
Being Lot No . 55 on map entitled "BIRCH HILL ESTATES Foster Street
South Windsor, Conn . Property of U Fr R Housing Corp. Scale 1" 100"
Date : Jan. 21 , 1963 Hayden L. Griswold C .E ." l= ;
Scale 1 " = 50 '
1 ,
HAYDEN L. GRISWOLD C .E. t,