HomeMy WebLinkAboutSeptic New 169 Palmer Drive ITOTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
PP
A lication No.
THE BUILDING DEPARTMENT:
/ 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 O ner ���✓c e,f T<y
2. Location of Property i / • t- v 2— Lot. No.
3. Type of Structure f �N No. of Bedrooms_
(Dwelling,com rcial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories 7— Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder— Other 1
6. Liquid Capacity of Septic Tank Material of Septic Tank t� P n c Y c- 1-c i r'e)
7. Soil Conditions: Type of Soil a N ti "TV qt�LMaximum ground water table �► 1
(Sand,Gravel, lam c.)
c
8. If not served by public water supply: Distance from Owner's well i2Li (r 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 &2z A/ ��Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width
7y Total
Other
Signature
(Licensed Ins
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19__ By
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FOR BUILDING PURPOSES ONLY
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PROPERTY OF
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NO . PALMYR DRIVE SOUT}{ WINDSOR, CONN .
Feine Ld No . 6.3 on map entitled "BIRCH HILL 1;STATLS roster Street t
South Vindsor, Conn . Property of U ty R Housing Corp . Scale 1 " = 1001
Date : Jan . 21 , 1963 Hayden L. Griswold C . E . "
Scale 1 " = 5(1 1 -
9AYDEN L . GRIS'rvOLD C . E .
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E, FOR BUILDING PURP68 ONLY -.
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PROPERTY OF �
N0 . PALMER DRIVE SOUTH WINDSORv CONN.
Being Let No. 63 on map entitled "BIRCH HILL ESTATES Foster Street
South tlindsor, Conn . Property of U R Housing Corp. Scale 1" 100 '
Dater Jan . 21 , 1463 Hayden L. Griswold C .E ."
Scale t " = 501
HAYDEN L . GRISWOLD C .E .
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