HomeMy WebLinkAboutSeptic New 260 Diane Drive TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. 'z
+ TO THE BUILDING DEPARTMENT: Date '"` 0 At
— 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: Q, f j+
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1. Owner of Property � Address of Owner �`
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2. Location of Prope y Lot. No. A 7
3. Type of Structure No. of Bedrooms
(Dwen,54 Commercial Bu ding,Store,etc.)
4. Number of Families ofWawoaklW Occupry� Premises_
5. Plumbing Fixtures: Water Close tsr - _ Urinals Lavatories_ Bathtubs_
Showers Kitchen Sinks__/_,__ Laundry Tubs Garbage Grinder Other
8. Liquid Capacity of Septic Tan Material of Septic Tank "z� ' �
7. Soil Conditions: Type of Soil 4 Maximum ground water table
and,00=,el, ,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 Length � Width Z AZ Total �-17®
Other
Signatur T
( censed Installer
(Sketch showing all minimum distances and other details required below)
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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 . 27 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 2 of 2 Rev . Jan. S, 1963 to
show change of building lines"
Scale I " = 501 11,4
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HAYDEN L. GRISWOLD C .E.