HomeMy WebLinkAboutSeptic New 80 Diane Drive f TOWN OF SOUTH WI N DSOR
a BUILDING DEPARTMENT
South Windsor, Connecticut t
Application for Permit to Install or Repair Individual-,,Sewage Dispos System
Application No. CO
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F TO THE BUILDING DEPARTMENT: DateI__CSC ,� 7
A permit is requested for repair or construction of an individual sewage disposal system concerning which the I '
following information is submitted:
1. Owner of Property az Address of Owner,
2. Location of Pro pe ��� $��u V'_!�� Lot. No.
3. Type.of Structure No. of Bedroo ins-- ..
( vvCommercial Building,Store,ate.)
� P 4: Number of Families or eVima-to Occupy remises in -P
T
8. Plumbing Fixtures: Water Closets, z Urinals Lavatories Bathtubs_
Showers Kitche Sinks�_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity 1"f tic Ta Material of Septic Tan .e /
k 7. Soil1 Conditions: Type of So' Maximum ground water table-)"VJ AU
( and,:. rave, etc.)
8. If not served by public water supply: Distanceom Owner's well from adjacent wells
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9. Distance,to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 11, drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Nmbe>•of trenches '� Length ���� Width Total /G _
Other
_...__ �..ed a
(Sketch showing alt'ninimum distances and other details required below)
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'. Permit Issued 19 By
InstallAtaoulnpleted,Inspected and Approved X9 By
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PROPERTY OF
NO . DIANE DRIVE SOUTH WINDSOR, CONN .
Being Lot No . 10 on -iap entitled "Map of HIGH FARMS Kelly Road
South Windsor , Conn . Property of Edward, Joseph & William Kelly
Subdividers Robert Stone & Jack Goldberg Scale 1 " = 50 '
April 6, 1959 Hayden L. Griswold C .E. Rev. Jan . 8, 1963 to show
change of building lines Sheet 1 of 2"
Scale 1 " -- 50 '
HAYDEN L. GRISI- OLD C .E .