HomeMy WebLinkAboutSeptic New 190 Palmer D rive TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date—___Cy Z-e— 16 1119
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 Z/ ,, Z0--l-t JA- Address of Owner
1
2. Location of Property i Z�' u L ` �'Y f' Z z /t�� fk? Lot. No.
3. Type of Structure `�-��
No. of Bedrooms
(Dwelqng,Commercial 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 Grinder; .Other
6. Liquid Capacity of Septic Tank 1,olS D 1 -C- Material of Septic Tank —1-c,/'Z
7. Soil Conditions: Type of Soil ct+ 0-t Maximum ground water table
(Band,Gravel,Cla3f,etc.)
8. If not served by public water supply: Distance from Owner's well aM"'C 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 l 3 Classification of soil
11. Minimum square feet of effective seepage area required ,, D
12. Leaching System: Number of trenches 6-- Length Width Total
i
Other
Signature
(Idcensed Installer)
(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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PROPERTY OF
PALMER DRIVE SOUTH WINDSOR, CONN.
q Lot No. S2 on map entitled *BIRCH HILL ESTATES Foster Street
:h Wfndsoro Conn. Property of U & R Housing Corp. Scale 1" 100
is, Jan.. 21 , 1963 Hayden L. Griswold C.E.0
So
HAYDEN L. GRISWOLD C.B.