HomeMy WebLinkAboutSeptic New 95 Diane Drive . 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 19
A permit is requested for repair or construction of an individual sewage dispo al system concerning which the
following information is submitted:
1. Owner of Propert�yj # 14
� Address of Owner
2. Location of Propef tF#�i d.v�F? �f �. Lot. No. 1-
3. Type of Structure 111 �_ !, h R No. of Bedrooms
(Dw lling,Commercial Building,Store,etc.)
4. Number of Families or occupy Premises— 1
5. Plumbing Fixtures: Water Closets 02 Urinals Lavatories Bathtubs_
Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6 Liquid Capacity of Septic Tank QM
Material of Septic Tank C-0 W C re*
7. Soil Conditions: Type of Soil aximum ground water table
(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 ✓'...5 Width `5"1 r Total r f
Other
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Signature -
( icensed Installer
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
r FOR BUILDING PURPOSES Of y
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PROPERTY OF
NO. 95 DIANE DRIVES SOUTH WIMMORi CONN.
Being Lot No.rG 3 on map entitled "Map Of. HIGIR, FARMS I(C-1)IT;, ftd:-
South Windsor, Conn. Property of Edward, Joseph . William Kelly
Subdividers Robert Stone Jack Goldberg Scale 1" - 501
April 6, 1959 Hayden L. Griswold C .E. Sheet 1 of 2 Rev. Jan . $,
1963 to show change of building lines"
Scale 1 " 50 0
HAYDEN L. GRISVQL9 C .R.