HomeMy WebLinkAboutSeptic New 220 Diane Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMEN-T
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal Sy tem
Application No.
TO THE BUILDING DEPARTMENT: Date 41;r, 19
A permit is requested for repair or construction of an individual sewage disposa system/concerning which the
following information is submitted: g
1. Owner of PropertAl �`OY5�. Address of Owne.1- 14
s
2. Location of Property,! ��P �_�Grp -� Lot. No. � 3
3. Type of Structure �( No. of Bedrooms_
(Dw 11 g,Commercial Budding,more,etc.)
4. Number of Families or p0=0400 Occupy Premises__ n Al
5. Plumbing Fixtures: Water Closets / Urinals AW Lavatories _ Bathtubs_
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank �i J Material of Septic Tank a
7. Soil Conditions: Type of Soil l r Maximum ground water table l.k W
(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 CJ? Length Width_tY0- f- Total 41&�
Other
Signature �z:
(lAcensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
� VU.D�N� �ORpOSES
` FOR B
PROPERTY OF
NO. DIANE DRIVE SOUTH WINDSOR, CONN.
Being Lot No . 23 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" = 501 April 6,
1959 Hayden L. Griswold C.E. Sheet
heet 2 of 2 Rev. Jan. 8, 1963 to
show change of building lines"
Scale 1 " = 50 "
HAYDEN L. GRISWOLD C.E.