HomeMy WebLinkAboutSeptic New 179 Palmer Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
/ South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
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Application No. �!
TO THE BUILDING DEPARTMENT: Date -lr," Z 196�
/ 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 o Owner �OC, e-,I V-r
2. Location of Propert ?9 t'" Lot. No. 4'!Y
3. Type of Structure W 1V No. of Bedrooms
(Dwelling,co mercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories 2 Bathtubs
Showers_L Kitchen Sinks __ Laundry Tubs Garbage Grinder Oth
6. Liquid Capacity of Septic Tank f/dQ Mate:1aximum.
of Septic Tank a H C r t p
7. Soil Conditions: Type of Soil cr' AJ J ", �G k ground water table
(ravel,Clay,et )8. If not served by public water supply: Distance from Owner's well •P`j C' from adjacent wells
9. Distance to nearest water course, drainage ditch, storin-drain or embankment
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10. Percolation Tests: Time for 1" drop in soil test s Classification of soil
11. Minimum square feet of effective seepage area required e d
12. Leaching System: Number of trenches Length- 1 Width, Q Tot
Other
Signaturr�
(Licensed Inet
(Sketch showing oil minimum distances and other details required below)
/
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Permit Issued 19 By
Installation Completed, Inspected and Approved lg By
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b �
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GR�S
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536
PROPERTY OF
NO. PAI.MER DRIVE SOUTH WINDSOR, CONN .
Being Lot No. 64 on map entitled "BIRCH HILL. ESTATES Foster Street
South Windsor, Conn. property of U R Housing +;orp. Scale 1 " 1001
,Fates Jan 21 , 1963 Hayden L. Griswold C . E.!
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