HomeMy WebLinkAboutSeptic New 210 Diane Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal Sys m
Application No.
TO THE BUILDING DEPARTMENT: Date 19
A permit is requested for repair or construction of an individual sewage d!sPOsaf system concerning which the
following information is subm4tted:.42,4 *�*J"�
1. Owner of Propert Address of Ownerit
. .
2. Location of Property Lot. No.
3. Type of Structure No. of Bedrooms _
w __ g;Commercial Building,Store,etc;)
4. Number of Families or ft"04, i Occupy Premises n Al Op
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs_
Showers Kitchen Sinks, Laundry Tubs Garbage Grinder Other.
8. Liquid Capacity of Septic Tan Material of Septic Tank, ;&
7. Soil Conditions: Type of Soil �+�► Maximum
(Sand,t' rave y,etc.) Found water table
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 � Lenatll 1'D Width Jd�� Total_3 `r—A i
Other
Signature / u
4cgen,,�der)
(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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FOR BUILDING PURPOSES ONLY.
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PROPERTY OF
NO. DIANE DRIVE SOUTH WINDSOR, CONN .
tleing Lot No. 22 on map entitled "Map of HIGH FARMS Kelly Road
South Windsor, Conn. Property of Edward, Joseph U William Kelly
Subdividers Robert Stone & Jack Goldberg Scale 1 " - 50 ' April 6
P ,
1959 Hayden L. Griswold C.E. Sheet 2 of 2 Rev. Jan . 8, 1963 to
show change of building lines "
Scale 1" — 504 9<of
HAYDEN L. GRISWOLD C .E.