HomeMy WebLinkAboutSeptic New 145 Diane Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal Skate
Application No. �P
TO THE BUILDING DEPARTMENT: Date,, f19 i
A permit is requested for repair or construction of an individual sewage dispo al system concerning which the
following information is submitted. i
1. Owner of Property /. •i Address of Owner
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2. Location of Prollr q_ —U Lot. No.
3. Type of Structure +11 G? _%( No. of Bedrooms_
�w�l�,Commercial Building, re,etc.
4. Number of Families or .Occupy Premises_
5. Plumbing Fixtures: Water Closets a? ._ Urinals Lavatories, Bathtubs
Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan YAW41S r Material of Septic Tank CAL
7. Soil Conditions: Type of Soil V Maximum ground water table
(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 Width `fd Total �479
Other
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Signature
(Licensed Installer)
(Sketch showing all minimum distances:and other d6toils- required below)
Permit Issued 19 _ By
Installation Completed, Inspected and Approved 19 By
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PROPERTY OF
NO. DIME DRIVE SOUTH WINDSOR, CONN .
Being Lot No. 58 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 " 501 Z4ifY
HAYDEN L. GRISWOLD C.E.