HomeMy WebLinkAbout1964-4-23 - 110 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. f
TO THE BUILDING DEPARTMENT: Date hp �;, , V 2,7 1 SCj'
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is supmittefl:
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1. Owner of Property Address of Owner 0 I3r
2. Location of Properi✓r I} � Lot. No.�
3. Type of Structure /) i.,e� /% , r. . , �- -No. of Bedrooms_
4. Number of Families or Persons to Occupy Premises e,
5. Plumbing Fixtures: Water Closets Urinals Lavatories 13 !rl [ �
Bathtubs �LW
Showers Kitchen Sinks INS Laundry Tubs Garbage Grinder Other G�r3 Gr ���
6. Liquid Capacity of Septic Tank , o Material of Septic Tank-
7. Soil Conditions: Type of Soil ell/ Maximum ground water table -C�s
(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 �S�A
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12. Leaching System: Number of trenches Length %LJa� r Width Z 1 Total -3e
Other
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Signature_
i.lcensed installer)
(Sketch showing all minimum distances and other details required below)
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Permit Issued_ i 9 By
Installation Completed, Inspected and Approved __ _ _19 By
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PROPERTY OF
NO. DIANE DRIVE SOUTH WINDSOR, CO?4N.
Being Lot No. 13 on map entitled "Map of HIGH FARMS Kelly Road
South Windsor, Conn. Property of Edward, Joseph &William Kelly
Subdividery Robert Stone & Jack Goldberg Scale I" — 50'
April 64 1959 Hayden L. Griswold C.E. Sheet,1 of 2"
Scale 1" — 50' Pfl.. l"j 1�cr�i
HAYDEN L. GRISWOLD G.K. 1
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