HomeMy WebLinkAboutSeptic New 330 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. v
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 4 submitted: Jo
1. Owner of Property n Address of Owner
2. Location of Property3 Lot. No. R
3. Type of Structure No. of Bedrooms
(Dwelling,Commer7 Building,Stor tc.) ■
4. Number of Families or Persons to Occupy Premises 4 ,Q
5. Plumbing Fixtures: Water Closets Z— Urinals La tories : Bathtubs
Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tankr ��
7. Soil Conditions: Type of Soil 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 Z— Length-- �-:�-- Width, .F— Total
Other
�, J:��/
Signature.
(License 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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FOR BUILDING PURPOSES ONLY '
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PROPERTY OF :=
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NO. DIANE DRIVE SOUTH I-JINDSOR, CONN-. e
Being Lot No. 34 on map entitled "Map of HIGH FARMS Kelly Road
South Windsor, Conn. Property of Edward , Joseph William Kelly
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Subdividers Robert Stone fs Jack Goldberg Scale 1 " = 50 ' April 6, `
1959 Hayden L. Griswold C .E. Sheet 1 of 2 Rev . Jan . 8, 1963 to
-show change of building lines"
Scale 1 " 50 '
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HAYDEN L. GRISWOLD C .R . '
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• � � �' FOR suoL®sNc Pu
l ;► RPOSES ONLY
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PROPERTY OF
NO. DIANE DRIVE SOUTH L'INDSOh, CONN•.
Being Lot No . 34 on map entitled "'Map of HIGH FARMS Kelly Road
k
South Windsor, Conn . Property of Edward , Joseph Fy William Kelly
�Subdivi.ders Robert Stone Jack Goldberg Scale 1 " = 50 ' April 6, '
1959 Hayden Lr Griswold G .E . Sheet 1 of 2 Rev . Jan . 8, 1963 to > '
show change of building lines"
TjF- r- -
Scale Ill501 �
HAYDEN L. GRISWOLD C .F: .
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