HomeMy WebLinkAbout1964-4-23 - 100 Diane Drive - Septic ApplicationTOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Dateg��V ,? �lg LL
A permit is requested for repair or construction of an individual sewage dispos__al system concerning which the
following information is submitted: h2 ) t -J / i _
1. Owner of PropertyF- Address of Owner l
2. Location of Propertj�i� / 7^ / v ..Lot. No.z
3. Type of Structure Lz-j ��// v1 Gi _ _ No. of Bedrooms
(D lling, Commercial Building, Store, etc.)
4. Number of Families or Persons to Occupy Premises j _ _
5. Plumbing Fixtures: Water Closets. Urinals Lavatories_ Ok7e- Bathtubs
r
Showers Kitchen Sinkslae-Laundry Tubs Garbage Grinder Other �i eG' �•,�C�j 1•
6. Liquid Capacity of Septic Tank_ "7077j- Material of Septic Tank_:Z4 kz C _
7. Soil Conditions: T / }- Maximum , Type of Soil ! - �� ground water table �
(Saner avel�Ciixy. Vic.
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
A
12. Leaching System: Number of trenches Length Width I� - Total g
Other___ _
Signature -�'�� r
( tensed Installer)
(Sketch showing all minimum distances and other details required below)
Permit Issued
19- - By
Installation Completed, Inspected and Approved -- _-19 By_- -- - - - -
1
T I Ww''.
G 019? S OW
13'
90, tbo-o
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PROPERTY OF
S U R.N
900
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NO. Dz*XE DRIVE SOUTH WINDSOR, CONN.
Being Lot Me. 12-ort map entitled "Map of HIGH FARMS Kelly Road
South Windsor, Conn. Property of Edward, Joseph & William Kelly
Subdividers Robert Stone'ff Jack Goldberg Scale 1" 501
April 6, 1959 Hayden L. Griswold, C.S. Sheet 3-of 2"
Scale l n - 50 r
HAYDEN L. GRIS14OLD C .E.