HomeMy WebLinkAboutSeptic New 90 Diane Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System �
Application No._ 7
TO THE BUILDING DEPARTMENT: Date /4 a?-•> c 123 19 (0 41
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted
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1. Owner of Property Address of Owner, � � Y
2. Location of Property4Q 0 I h e- Lot. No. _
3. Type of Structure Lb—Ay-e,l/J Cs No. of Bedrooms_
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets 0k7C, Urinals Lavatories LIe-- Bathtubs
Showers Kitchen Sinks-o-klAff-Laundry Tubs Garbage Grinder Other-,5?���y
6. Liquid Capacity of Septic Tank 60-0 Material of Septic Tank C.,
7. Soil Conditions: Type of Soil Z)i e Maximum ground water table Ze /eLt7 �,6 !
(Sand, ra el, ay,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 3 Length /Jr Width a Total
Other n �
Signature '/'6X
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
�` U1LD1N0 PDRPOSS ONLY �� - �'
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t,.. PROPERTY OF
• ' Nth. DIANE DRIVE SOUTH WINDSOR, CONN .
Being Lot No. 11 on map entitled "Aiap of HIGH FARMS Kelly Koad
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South Windsor, Conn . Property of Edward , Joseph v William Kelly
" Subdividers Robert Stone >� Jack Goldberg Scale 1" 50 '
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.. April h, 1959 Hayden L. Gri-swold C .E . Sheet 1 of 2"
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-Stale 1 " 50 �
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HAYDE4 L. GRISWOLD C .E .
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