HomeMy WebLinkAbout1964-5-18 - 115 Diane Drive - Septic ApplicationTOWN OF SOUTH W I N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal) System
Application No.
TO THE BUILDING DEPARTMENT: Date A9-Ae
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted �2Ar/e S 4 e/ s s
1. Owner of Property 3 Address of Owner • r
2. Location of Property .y� l �`ti P t �) '� Lot. No.
3. Type of Structure 1� 1� t 1/1�T s —.-No. of Bedrooms_
4. Number of Families or Ito Occupy Premises52
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs
Showers Kitchen Sinks_ Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank �CD / + Material of Septic Tank C—
7. Soil Conditions: Type of Soil Maximum ground water table&A0 Lei
band. 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 Length Width_ _ _ Total f
Other
Signature.
(]licensed Installer)
(Sketch showing all minimum distances and other details required below)
SC AFVNSn
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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PROPERTY OF
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NO. DIANE DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 61 on map entitled "Map of HIGH FARMS Kelly Road
South Windsor, Conn. Property of Edward, Joseph & William Kelly
Subdividers Robert Stone & Jack Goldberg Scale 1" @ 501 April 6,
1959 Hayden L. Griswold C.E. Sheet a of 2 Rev. Jan. 8, 1963 to
show change of building lines"
Scale 1" — 50,
HAYDEN L. GRISWOLD G.E.