HomeMy WebLinkAboutSeptic New 225 Diane Drive (2) TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date 19
A permit is requested for repair or construction of an individual sewage disposa system loncerning which the
following information is submitted: $ le
1. Owner of Property S Address of Owner -- o
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2. Location of Property. D Q YL P 1)41 of Lot. No. d
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3. Type of Structure D e 1`] A-)Q No. of Bedrooms_
( welling,Commercial Building,Store,etc.)
4. Number of Families or Pff sees to Occupy Premises_ O 4A e-
5. Plumbing Fixtures: Water Closets / Urinals Lavatories Bathtubs _
Showers Kitchen Sinks_ _ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank 7 M _7a Material of Septic Tank Cnyr-l-e
7. Soil Conditions: Type of Soil y'g,y e, Maximum ground water table /O
(Sand,Gravel, ay,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 0' Length ,4 9' Width --0'' Total
Other
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Signatur
icensed 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 WINDSORi CONN .
Being Lot No. 54 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 " = 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 " 50 '
HAYDEN L. GRISWOLD C. E.