HomeMy WebLinkAbout1968-11-18 - 20 Diane Drive - Septic ApplicationTOWN OF SOUTH WINDSOR f°
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Datel 1/n 4 / i::_:; 1 _
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 =f� c`-,4. 6 r !t Address of Owner_ _2_[,
2. Location of Property r % r t Lot. No. _
3. Type of Structure_L �.] �� `n �3- _ _ _ No. of Bedrooms
r
4. Number of Families or Persons to Occupy Premises �—'s a �1
5. Plumbing Fixtures: Water Closets / Urinals Lavatories Bathtubs 1
Showers__ Kitchen SinksLLaundry Tubs I Garbage Grinder
6. Liquid Capacity of Septic Tank , _ C. — Material of Septic Tank
7. Soil Conditions: Type of Soil1_1 Maximum ground water table —
(sand. Gray , 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 --�, C ,
10. Percolation Tests: Time for 1" drop in soil test Classification of soil _
11. Minimum square feet of effective seepage area required
r
12. Leaching System: Number of trenches Length /'3C7 / Width. _ To 0 1' 1
Other
!+� e Signatur c�----�a.-' � t
(Licensed lnataller )
(Sketch showing all minimum distances and other details required below)
f 4
]( x r 1 X
i
r � r
Permit Issdd `"` `r �+ I 419
a !
InstallatiPn Completed, Inspected and Approved9� By,
Ty�
,.;.�
�,
��
- - - - .- -«
'�f�"�N� e'1/=/LPL
S