HomeMy WebLinkAboutSeptic New 320 Diane Drive TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMEN-T
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal S stem
Application No.
TO THE BUILDING DEPARTMENT: Date. `Z — 3 19 .1
A permit is requested for re air or construction of an individual sewage disposal system concerning which the
following information is submitted: Qor�Q SSmi V/h
1. Owner of Property Address of Owner
2. Location of Property3Z� Lot. No.—3
3. Type of Structure No. of Bedrooms
&_-1 (Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets r Urinals Lavatories f Bathtubs _
Showers Kitchen Sinks ( Laundry Tubs Garbage Grinder Other_
6. Liquid Capacity of Septic Tank A�� Material of Septic Tank
7. Soil Conditions: Type of Soil Maximum ground water table 2 V
( and,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 Length ie, Width -70 Total d
Other
Signature _ Z
(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
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NO. DIANE DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 33 on map entitled "Map of HIGH FARMS Kelly Road
M111
South Windsor , Conn. Property of Edward, Joseph William Kelly
Subdividers Robert Stone Jack Goldberg Scale 1" = 50 ' April 69
1959 Hayden L. Griswold C .E. Shbet I of 2 Rev. Jan. 8, 1963 to � {
show change of building lines ." h � W
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HAYDEN L. GRISVO
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