HomeMy WebLinkAboutDrain Layers Permit 285 Diane Drive (2) A
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 Lit
19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted.o&,,��r -19er
1. Owner of Propert ?,Sir Address of Owne qw,114 T�'-_
2. Location of Properly i! Lot. No.
3. Type of Structure ll No. of Bedrooms
(Dwelling,Commercial Building,Store,.etc.)
4. Number of Families oPOWOOVA04o Occupy Premises,_ V% I
5. Plumbing Fixtures: Water Closets' Urinals Lavatories,,.---*�WT Bathtubs_
Showers Kitchen Sinks;_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan lhdMaterial of Septic Tank $'
7. Soil Conditions: Type of Soil ' Maximum ground water table
(Sand,Gravel,Cl y,a c.)
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 i" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Q.? Length_��`� Width —"®�— Total
Other
Signature,
( ceased Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 1g By
Installation Completed,Inspected and Approved 19 By
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PROPERTY OF
NO. DIANE DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 49 on map entitled "Map of HIGH FARMS Kelly Road
South Windsor, Conn. Property of Edward, Joseph 6• William Kelly
Subdividers Robert Stone fr Jack Goldberg, Scale 1" 501 April 6,
1959 Hayden L. Griswold C.E. Sheet 1 of 2 Rev. Jana 8, 1963 to
show change of building lines"
HAYDEN L. GR ISWO LD C.E.