HomeMy WebLinkAboutSeptic New 149 Palmer Drive TOWN OF SOUTH WI N DSOR r
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. 7a
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TO THE BUILDING DEPARTMENT: Date 19 I5
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 bb Address of Owner
2. Location of Property_l r�- Lot. No.=_z
3. Type of Structure r No. of Bedrooms
(Dwe ng,Commercial Building,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 ''Other
6. Liquid Capacity of Septic Tank / J/L� �� Material of Septic Tankl
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 o soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Widt " .. Total
Other
Signature_/
(L ipensed Installer)
(Sketch showing all minimum distances and other details required below) C
3
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PROPERTY OF
NO. PALMER DRIVE
SOUTH WINDSOR, COIN. ,
Being Lot No. 61 on map entitled "BIRCH HILL ESTATES Foster Street South Windsor,
Coati Property of u, R Housing Corp. Scale lu 10f#v Date: Jan. ZI , 1963
Hagda,u L, Griskold. C.E,."
scale: i* Sp ' B, /
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