HomeMy WebLinkAboutSeptic New 255 Diane Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal S st m
Application No.
TO THE BUILDING DEPARTMENT: Date 19�
A permit is requested for repair or construction of an individual sewage disposal sys em concerning which the
following information is submitted: J-6, Anj. Av o-j s ;
1. Owner of Property Address of Owner
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2. Location of Properly l dC Y� Dr t V Lot. No. _
e
3. Type of Structure !_J(� e-- k\ i /ly' No. of Bedrooms_
(Dwelling,C mercial Buiildrin�g,Store,etc.)
�/4. Number of Families or ftrsons-to Occupy Premises_ V
5. Plumbing Fixtures: Water Closets l — Urinals Lavatories_ Bathtubs_
Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank ,a® Material of Septic Tank Y'
7. Soil Conditions: Type of Soil s Maximum ground water table SD t1J
(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 t Length /� ` Width C756 Total '
Other
Signature4- / r �
(Licensed Installer) I `
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
odd �
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167
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PROPERTY OF
N0. UTANF DRIVL SOUTH WINDSOR, CONN.
Being .'-Lot No. 52 on map entitles "Map' of. HIGH FARMS Kelly Road
South Windsor, Conn. Property of $dward, Joseph & Willis.* 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 1 " s 50 '
HAYDEN L. GRISWOLD C. E.