HomeMy WebLinkAboutSeptic New 200 Diane Drive TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal S st
Application No.
TO THE BUILDING DEPARTMENT: Date—eWiZ1/ � 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted4rvtn JStnean""
1. Owner of Property, _ Address of Owner��-
2. Location of Property- Lot. No.- a
3. Type of Structure
(Dwel'ng,Commercial Building,Store,etc.) No. of Bedroom-.
4. Number of Families or to Occupy Premises_ C5 -Y\ 'P
5. Plumbing Fixtures: Water Closets Urinals Lavatories._ _ Bathtubs_
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank �d d 4;Q/, Material of Septic Tank CC C C_ �^,
7. Soil Conditions: Type of Soil Maximum ground water table be/.jtj,��
(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 Widths�� Total
Other
Signature
(L 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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'Uir,,'111Itlit t�t1'+� PROPERTY OF
NO. DIANE DRIVE SOUTH WINDSOR, CONN.
Being Lot No . 21 on map entitled "Map of HIGH FARMS Kelly Road
South hfindgaq, 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 I " = 5 0 '
HAYDEN L. GRISh;OLD C.E .