HomeMy WebLinkAboutSeptic New 159 Palmer Drive TOWN OF SOUTH W1"N DSOR f
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit,to .Install or, Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: pate
A permit is requested for repair or construction of an individual sewage d sposal system concerning which the
following information is submitted:
1. Owner of Property Address of Ownerm,
/
2. Location of Properis9 ty Lot. No. !o
3. Type of Structure No. of Bedrooms
(Dwell- Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises
5. Plumbing Fixtures: Water Closets Urinals: Lavatories Bathtubs I--
Showers Kitchen Sinks Laundry Tubs y/Garbage Grinder Other _
6 Liquid Capacity of Septic Tan ^p Material of Septic Tank R e
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Cla tc.)
8. If not served by public water supply: Distance from Owner's wel from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
' s -
10. Percolation Tests: Time for 1" drop in soil test 6 Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches .Y Length o2� Width 2�/.Z_. Total SOO
Other
Signature
(Licenseatelier)
(Sketch showing all minimum distances and other details aired below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PROPERTY OF
NO. PALMER DRIVE SOUTH WINDSORO CONN .
Being Lot No. 62 on map entitled "BIRCH HILL ESTATES Foster Street. � h
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