HomeMy WebLinkAboutSeptic New 180 Diane Drive TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut —
Application for Permit to Install or Repair Individual Sewage Disposal Sys em
�F Application No. ,W
TO THE BUILDING DEPARTMENT: Date s-Y 19
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 Owner
2. Location of Property kJ J Q-4n,e dJ`rti V 4e Lot. No... / 9
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3. Type of Structure k-^-Iq No. of Bedroom
(Dwelling, ommercial Building,Store,etc.)
4. Number of Families or Premises__ <f:N yL
5. Plumbing Fixtures: Water Closets ® Urinals Lavatories l Bathtubs +
Showers Kitchen Sinks _ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank C re p�
7. Soil Conditions: Type of Soil V'-2- Maximum ground water table ���CILj
Sand,Gravel,Clay,etc.)
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 1" drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length /J5 Width Total
Other
Signature
(Li ensed 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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y� 8 FOR BUILDING PURPOSES ONt�I
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3y PROPERTY OF
NO. DIANE DRIVE SOUTH WINDS"OR, CONN .
Being Lot No. 19 on map entitled "Map of HIGH FARMS Kelly Road !
South Windsor, Conn. Property of Edward, Joseph William Kelly
Subdivider•fi Robert Stone & Jack Goldberg Scale 1 " 501 April 6,
1959 Hayden L. Griswold C . E. Sheet 2 of 2 Rev. Jan . 8, 1963
to show change of building lines"
Scale 1 " = 50 '
HAYDEN L. GRISWOLD C .F.