HomeMy WebLinkAboutSeptic New 360 Diane Drive 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_ 7� ��® 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
1. Owner of Property
�y�l� � Address of. Owner
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2. Location of Properly_ - Lot. No.
3. Type of Structure No. of Bedrooms
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers 1) Kitchen Sinks i Laundry Tubs b Garbage Grinder d Other
6. Liquid Capacity of Septic Tan 4Z7,6.Material of Septic Tank ,
7. Soil Conditions: Type of Soil Maximum ground water table
(Sand,Gravel,Clay,etc.) r
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 Width Total
Other
Signature
ensed 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 �t
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NO. DIANE DRIVE SOUTH•WINDSORt CONN. r'
.Being Lot No. 37 on map entitled "Map of HIGH FARMS Kelly Road a }3
South Windsor, Conn. Property of Edward, Joseph & William Kelly
Subdividers Robert Stone fe Jack Goldberg Stale 1" _ 50 '
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„f April 6, 1959 Hayden L. Griswold C.F. Sheet 1 of 2" ¢
`'%Same 1 " 50 ,
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PROPERTY OF
NO. DIANE DRIVE SOUTH WINDSOR, CONN .
Being Lot No . 37 on reap entitled "Map of HIGH FARMS Kelly Road
South Windsor, Conn . Property of Edward , Joseph William Kelly
Subdividers Robert Stone c+ Jack Goldberg Scale 1 " = 50 '
April 6, 1959 Hayden L. Griswold C . !: . Sheet I of 2" ,µ
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Scale 1 " = 501
HA-YDEN--L. .RISWOLD C.E. _ s
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