HomeMy WebLinkAboutSeptic New 110 Diane Drive •y <L $
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. w��
TO TBE BUILDING DEPARTMENT: Da r 19 44/
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 Prope Address of O'IDwn
l 2. Location of Prop�r t+ Lot, No.
3. Type of Structure_�1-, + 1 commercial suild ,store,etc.)
(Dwring, No. of Bedrooms 4. Number of Families or Menewoo4aw0ccupy Premises_
5. Plumbing Fixtures: Water Closets_ Urinals Lavatories 02 Bathtubs
Showers Kitchen Sinks,_,;, Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank, Material of Septic Tank CA y'
7. Soil Conditions: Type of Soi 44114 4 I Maximum ground water table. Diu
( nd,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 3 Length ��l�� Width �� Total .3-/-4-'-'
Other
Signatur �/.�O"LZ�Liia
tensed Installer)
(Sketch showing oil minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PROPERTY OF <%.�°10 S IPiz
VC�� �i��•
N0. DTANF. DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 62 on map entitled "Map of HIGH FARMS Kelly Road
South Windsor, Conn . Property of Edward, Joseph Nilliam ,Kelly
Subdividers Robert Stone fY Jack Goldberg Scale 1". = 50 ' 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. T.
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+.+:�'�lS1�tSii1('.fa11/1/71J/}jar i
PROPERTY OF
NO DIANE DRIVF, SOUTH `WIN,DSOit, CONK.
Being, Lot No. 62 on map entitled "Map of HIGH FARMS Kelly Road.
South Windsor, Conn. 'Property of Edward, JosepEe, fs William ,Kelly
Subdi,vid.ers . Robert • Stone f� Jack Goldberg :Scale 1" _ 50 ' April 6,
1959 Hayden L. Griswold C,E. Sheet 2 of 2 Rev . 1963 to
show change . of building lines"
Scale .50
HAYDEN L. GRISWOLD C. r..