HomeMy WebLinkAboutSeptic New 125 Diane Drive� _ r
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- TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No._ !
1 TO THE BUILDING DEPARTMENT: Date. 19.
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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f F4 T At 1 Owner of Property,, 'V**.k �rAddress of Owne f
2. Location of Proplx�ys "A 0 jl V z Lot. No. e
f"
3. Type of Structure No. of Bedrooms
(juweU7,Commercial Building,Store,etc.)
4. Number of Families or ieao Occupy Premises
5. Plumbing Fixtures: Water Closets_ Urinals Lavatories Bathtubs
Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank`PAO 9 1 s ,L Material of Septic Tank CA C V-*
7. Soil Conditions: Type of Soil &,t Vkg../ Maximum ground water table_
wand,Gravel,MY,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--I Length � � Width -30 " — Total 3,F7 y
Other
Signature
(Li need Installer
(Sketch-showing all minimum distances and other detailsi required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By.
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PROPERTY OF
80. DIANE DRIVE SOUTH WINDSOR, CONN .
Being Lot No . 60 on map 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. Sheet 2 of 2 Rev. Jan . 8, 1963 to
show change of building lines"
Scale 1 " = 50 ' / 196'f
HAYDEN L. GRISWOLD C .E.