HomeMy WebLinkAboutSeptic New 265 Diane Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date _ S 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: fGciBSE� vlOr/S
1. Owner of Propert 4F OF Address of Owner -
2. Location of Propez�y►6� " Lot. No. Cr/
8. Type of Structure No. of Bedrooms_ __
(Dwen4,Commercial Bugdinx,Store.etc.)
4. Number of Families o .w**#to Occupy Premises tl
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 la=ft;,7. Soil Conditions: Type of So' Maximum ground water table _i�
( an , rav y.et..)
8. If not served by public water supply: Distance from pwner'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 Length 1466" Width !�O Total_�4 '��
Other 'T�
Signature
Mcensed�er)
(Sketch showing oil minimum distances and other details required below)
Permit Issued 19 By
Installation Completed,Inspected and Approved 19 By
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PROPERTY OF
NO. DIANE DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 51 on map entitled aMap 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 1 " = 501 /`'f/-- !'f
HAYDEN L. GRI3WOLD C.E.