HomeMy WebLinkAboutSeptic New 245 Diane Drive TOWN Of SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal S stern
Application No. �r
TO THE BUILDING DEPARTMENT: Date L�' 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:/4./,
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1. Owner of Property 1.4- -- U Address of Owner
2. Location of Prog .1 An�. ot. No.
3. Type of Structure tl-63 m t No. of Bedrooms_
( w g,commercial Building,Store,etc.)
4. Number of Families or DOOM to Occupy Premises A MAL
S. Plumbing Fixtures: Water Closets Urinals Lavatories__ Bathtubs_
Showers Kitchen Sink's? _ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tan Material of Septic Tank &Vt e .
7. Soil Conditions: Type of Soil Maximum ground water table & o , r
( an rav ay,eta
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 V drop in soil test Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches 3 Length Width � Total
Other
Signature / t •
ceneed to )
(Sketdt showing,all minnnum distances and other details required below)
Permit Issued, 19 By
Installation Completed,Inspected and Approved 19 By
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PD�POSES .
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PROPERTY OF
NO. DIANE DRIVE SOUTH WINDSOR, CONN .
Being Lot No. 53 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 . E. Sheet 2 of 2 Rev. Jan. 8, 1963 to
show change of building lines"
Scale I " = 50 ' HAYDEN L. GRISI:'OLD C. E .
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