HomeMy WebLinkAboutSeptic New 230 Diane Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal Sy tem
Application No.
TO THE BUILDING DEPARTMENT: Date F �t,1i" ! . 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 waa,4 Address of Owner
rXif Pit
2. Location of Property 3 Lot. No.
3. Type of Structure - No. of Bedrooms_
w g, ercial 8uildtng, tore,etc.)
4. Number of Families or APmawas to Occupy PremisesT -
5. Plumbing Fixtures: Water Closets Urinals Lavatories_ Bathtubs
Showers Kitchen Sinks._ Laundry Tubs Garbage Grinder Other,,
6. Liquid Capacity of Septic Tank_ * Material of Septic Tank__ ''"4P.- " _
7. Soil Conditions: Type of Soil r
gra. Maximum ground water table # _
and,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 Lens h ��T Width ® � Total
Other
Signature
(ILAteensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By.
- '
Iz
;i
PROPERTY OF
-NO . DIANE DRIVE SOUTH WI NDSOR, CONN.
Being Lot No. 24 on map entitled " tap of HIGH FARMS Kelly Road
South Windsor, Conn . Property of Edward, Joseph & William Kelly
Subdividers Robert Stone & Jack Goldberg Scale l" - 50 ' April 6,
1959 Hayden L. Griswold C.E. Sheet 2 of 2 Rev. Jan. 8., 1963 to
show change of building lines"
Scale 1 " 50 ' Alf r`' /8 /14
HAYDEN L. GRISWOLD C .E.