HomeMy WebLinkAboutSeptic New 185 Diane Drive M 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. /VcX(Z IS 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted J
1. Owner of Property 0 Address of Owner I v�j "��'
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2. Location of PropeTt��D 1 0.,�� � )'Y`�—.�.— Lot. No.
3. Type of Structure Lki e. No. of Bedrooms
(L)i ling,Commercial Building,Store,etc.)
4. Number of Families or peremrs to Occupy Premises_ 6 A)e
5. Plumbing Fixtures: Water Closets .— Urinals Lavatories Bathtubs
Showers Kitchen Sinks, Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank d� Material of Septic Tank f%A e "±e
7. Soil Conditions: Type of Soil lT e I Maximum ground water table Kl�I D IA)
(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 t�-� Total
Other � z�
Signature j
(Licensed Installer
(Sketch showing all minimum distances and other details required below)
nit Issued 19 By
Nation Completed,Inspected and Approved 19 By
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536
PROPERTY OF
\ NO. DIANE DRIVE SOUTH WINDSORs CONN. ,
Being Lot No. 4 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.B. Sheet 2 of -2 Rev. J-an.,, 8,` 1963 to
\, show change of building lines"
40�
1\Scale 1"
HAYDEN L. GRISWOLD C.E.
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PROPERTY OF
NO. DIANE DRIVE SOUTH WINDSOR, CONN .
Being Lot No . 55 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 . 6. Sheet 2 of 2 Rev. Jan . 8, 1963 to
show change of building lines"
Scale 1 " = 501
HAYDEN L. GRISWOLD C.E.