HomeMy WebLinkAboutSeptic New 150 Diane Drive r
TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date i 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: 9 9e / 9A�tSo�
1. Owner of Property ` !,'� Address of Owne l
2. Location of Prope t'*.V- Lot. No. �
3. Type of Structure No. of Bedrooms
( w g, ommercial Building,Store,etc.)
4. Number of Families or F4Qq&ft9 Occupy Premises— 0 V'k I? .
5. Plumbing Fixtures: Water Closets -( Urinals - Lavatories _ Bathtubs,_
Showers Kitchen Sinks_ � Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank`.._ Material of Septic Tan
7. Soil Conditions: Type of Soil Maximum ground water table u.sm, my
and, ravel, 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 '!dr Total
Other
Signature r
( tensed 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. 16 on map entitled "Map of HIGH FARMS Kelly Road
South Windsor, Conn. Property of Edward, Joseph td William Kelly
Subdividers Robert Stone & Jack Goldberg Scale 1" 50 ' April 6,
1959 Hayden L. Griswold C .E. Sheet 2 of 2 Rev. Jan. S, 1963 to
show change of building lines ."
Scale 1 " = 50 '
HAYDEN L. GRISWOLD C.E .