HomeMy WebLinkAboutSeptic New 280 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. 9�
TO THE BUILDING DEPARTMENT: Date Jvl.n, 19_i�
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: or -7- !• ,+�
1. Owner of Proper Address of Owne
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2. Location of Property. Q \ 1 il< Lot. No. -
3. Type of Structure , , .
No. of Bedrooms_
` (Dwelling,C mmercial Building Store etc)
4. Number of Families or-Persalls to Occupy Premises_ n Al e
5. Plumbing Fixtures: Water Closets Urinals Lavatories_ Bathtubs_
Showers Kitchen Sinks�4 Laundry Tubs Garbage Grinder //�� __ Other
6. Liquid Capacity of Septic Tanl Material of Septic Tank l_f� 11{ e e
7. Soil Conditions: Type of Soil `C�e / 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 -T Length ` Width � �� Total
Other
Signatur 7, C%
(Licensed Installer)
(Sketch showing all 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. 29 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 69
19$9 Hayden L. Griswold C.E. Sheet 2 of 2 Rev. Jan . 8, 1963 to
show change of building lines"
Scale 1" : 50 '
HAYDEN L. G RISWOLD C. E.