HomeMy WebLinkAboutSeptic New 275 Diane Drive r�
' TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No. C
TO THE BUILDING DEPARTMENT: Date_ �' 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: 4.
1. Owner of Property22 `� Address of Owner v
2. Location of Property? a sty 1,f V Cb
Lot. No.
3. Type of Structure - �k N4' r No. of Bedrooms
(Dwellinf,Commercial Building,Store,etc.)
4. Number of Families onto Occupy Premises_ 6 N-A -e
5. Plumbing Fixtures: Water Closets Urinals Lavatories__ 22. __ Bathtubs_
Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank it # Material of Septic Tank C.0 y C. ! „
7. Soil Conditions: Type of Soil_ 6 Y`fib►. 1 Maximum ground water table
(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 '31 Length M-7 Width Total � '°
Other
Signature
,(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19�T By
FOR . .
BUILDING UNLY
lr ��
6 z
I ► + f�rx' �QJ
I
,.v7' •,� � Iqx zoo 5 --- s7"n ,�.�,, � '��
12' jai 73.L.
r
PROPFRTY OF
NO. DIANE DRIVE SOUTH WINDSOR, CONN .
Being Lot No. 50 on map entitled ' tap 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 Haydeh L. Griswold C .L. Sheet 2 of 2"
Scale 1 " = 501 f'�•t 1'
HAYDEN L. GRISWOLD C . !.,.