HomeMy WebLinkAboutSeptic New 135 Diane Drive 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 IvaK 19�
A permit is requested for repair or construction of an individual sewage dispo al system concerning which the
following information is submitted: qeb 6.,ml7er
1. Owner of Property$ —Address of Owner Q
2. Location of Property �� d�riL 1 Lot. No.
3. Type of Structure t!I p.9\'A yeA No. of Bedrooms—3
(Dw Ting,Commercial Building,Store,etc.)
4. Number of Families or Pemeas-#e-Occupy Premises_ O-VA- e
5. Plumbing Fixtures: Water Closets %Q _„ Urinals Lavatories_ Bathtubs
Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Q60q(d Material of Septic Tank
7. Soil Conditions: Type of Maximum ground water table QAM W
(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
1
12. Leaching System: Number of trenches ` Length -ay Width, 2 Total �o
Other
Signature P► �'J G��/��-�
( 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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PROPERTY OF
NO. DIANE DRIVE SOUTH WINDSOR, CONK .
Being Lot No. 59 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. 6, 1963 to
show change of building lines"
Scale 1 " a 50 /✓f,4r �� /fo"y
HAYDEN L. GRISWOLD C.E .