HomeMy WebLinkAboutSeptic New 170 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.
TO THE BUILDING DEPARTMENT: Datt-., � t T 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:,
1. Owner of Property Address of Owner
2. Location of Prop eify '\ Lot. No.
r
8. Type of Structure No. of Bedrooms_
k5wellingNes,
ommercial Building,Store,etc.)
P'4. Number of Families or i MOOccupy Pre eQ *—%ON.
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other,
6. Liquid Capacity of Septic Tan and, ravel • Material of Septic Tank�A ove
7. Soil Conditions: Type of So Maximum ground water table IWO � r
, ay,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 _Z Length Z-5 ` Width -�a Total _
Other
Signature
( censed e )
(Sketch showing all minimum distances and other details- required below)
Permit Issued - 19 By
Installation Completed,Inspected and Approved 19 By
� r
THIS MAV FOR MORTCA"
s
v t / j0pl6�
s�
�Y b 1- ►9 �
y /1
rt
-
1
oI
U 14NI: Dtt IVi,: SOUTH Si I?Jl)Si�:t, C0N,'d
Being Lot `; � . 18 on map entitled " tap of liIrli FARMS Kelly Road �I
South V. in3sor, Conn. Property of !':�Iwa.rd, Joseph fd William Kelly
Subdividers Robert atone r+ Jack Goldberg Scale 1 " = 50 ,
April 6, 1 ')59 Hayden L. Griswold C .,, . Sheet 1 of 2 Rev . Jan.1963 to show change of build ir►g lines" u
Scale 1 " = 50 '
N.1YDF�; L. GRIS'-,'OI1; C .E.
Pt
3
a
r
e - /ry t /
`
10
•l
PROPERTY
Being Lot No . IP on map entitled "Map of HIGH FARMS Kelly Road
SOu th V ind sor, Coal. "roperty of Vdward, Joseph William Kelly
Subdividers Robert 3tOne & Jack Goldberg Scale 1 " = 50 '
April 6, 1959 Hayden L. Griswo l A c.h.
1963 to show change of building SITS et 1 of 2 Rev . Jan.
Scale 1 E, y 5o ' lir3es��
HAYDEN [ . GRI.S',OLp C .E.
�Ft f,