HomeMy WebLinkAboutSeptic New 115 Diane Drive (2) TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. 3�&
TO THE BUILDING DEPARTMENT: Date A ,z)/ 19651
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submittediNP�t 5 F C/S S
1
1. Owner of Propert3 �J ` " IF �r.e-�� Address of Owner 9 of
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2. Location of Property D
s l a`ti'P D'C"�, v e- Lot. No.�
3. Type of Structure V�-G No. of Bedrooms
Dweih ,Commercial Building,Store,etc.)
4. Number of Families or LC�¢to Occupy Premises_ d V11(C_
02 5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 0d Q,./r / Material of Septic Tank ch A4r__Ye-,�-e
7. Soil Conditions: Type of Soil 1-4 / Maximum ground water table "U) B
(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 A& LWidth Total
Other
Signature,.r✓zt
( censedInstaller)
(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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23
PROPERTY OF
St'mv : .
N0. DIANE nRIVE SOUTH WINDSOR, CONN .
Being Lot No. 61 on map entitled "Map of HIGH FARMS Kelly Road
South Windsor, Conn. Property of Edward, Joseph & William Kelly
Subdividers Robert Stone 6' Jack Goldberg Scale 1 " - 501 April 6,
1959 Hayden L. Griswold C.E. Sheet a of 2 Rev. Jan . 8, 1963 to
show change of building lines"
Scale 1" 50 ,
HAYDEN L. GRISWOLD C .E.