HomeMy WebLinkAboutSeptic New 130 Diane Drive 7
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage DisposqlSystem
Application No.
TO THE BUILDING DEPARTMENT: Date- Z— 19
A,permit is requested for repair or construction of an individual sewage dispo al system concerning which the
following information is submitted: 'b,,1 sr-Tf bad�K
1. Owner of Property Address of Owne� � "
33 , ,,
2. Location of Properly Lot. No.
3. Type of Structur fe. ) No. of Bedrooms„
( w ,commereW Building,Store,etc.)
4. Number of Families or *arm o Occupy Premises
5. Plumbing .Fixtures: Water Closets Urinals Lavatories Bathtubs_
Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 99199A.Za Material of Septic Tank
7. Soil Conditions: Type of Soil �r`+F"li�i� Maximum ground water tabie� O ail
( nd,gavel,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 Width, ��~ Total_
Other
Signature f
(Licensed Installer
(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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PROPERTY OF
NO. DIANE DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 14 on map entitled "Map of HIGH FARMS Kelly Road
South Windsor, Conn. Property of Edward, Joseph & William Kelly
Subdividers Robert Stone & Jack Goldberg Scale i " = 50 ' April 6,
1959 Hayden L. Griswold C .E. Sheet 2 of 2 Rev. Jan . 80 1963 to
show change of building lines"
Scale 1 " = 50 '
HAYDEN L. GR ISWOLD C .E .