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HomeMy WebLinkAbout1964-5-18 - 170 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: Date 19� A permit is requested for repair or construction of an individual sewage disposal system concerning which the following information is submitted: //�� 4%iw/ K�1�'?�Qcaj 1. Owner of Property. ` Address of Owner Pt [�f d 2. Location of Propel�b \/ �� . Lot. No. 3. Type of Structure ti 1 VL % . _ �_ .. . I_ _ _No. of Bedrooms 4. Number of Families or Occupy PremisesL— - -A .V-- 5. Plumbing Fixtures: Water Closets, Urinals Lavatories Bathtubs Showers Kitchen Sinks _ Laundry Tubs Garbage Grinder Other 6. Liquid Capacity of Septic Tank 9,60 q a Material of Septic Tank Cd T/ C 1-,e e _ 7. Soil Conditions: Type of Soil Y` V Maximum ground water table 8QlO vi 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 12. Leaching System: Number of trenches Length f Width � Total,-'sft Other (Sketch showing all minimum distances and other details required below) d. V I. Permit Issued 19 By Installation Completed, Inspected and Approved 19 By ,THIS MAP f OR 0-16 , o ;pl le •` 1 1'IiOPFItTY OF pil ry � I "r, 00 q-o NO. DIANI: Diziv?: SOUTH k'INDSO;t, CONN Rein- Lot Nlo. 18 on map entitled "!tap of HIGH FARMS Kelly Road South Windsor, Conti. Property of Edward, Joseph & William Kelly Subdividers Robert itone F+ Jack Goldberg Scale 1" = 50' April 1963 b, 1959 Hayden L. Griswold C.1;. Sheet to show change of building lines" 1 of 2 Rev. Jan. 8, Scale 1" = 50, HAYDEN L. GRISIVOID C.E. j that kw i ;: , an: yc;iateC, T THIS OW 0 7' hlf T Y o VI) . DINNE T)1,kjv!-, SOUTH 1,1 s i) 1 Al COINN Being Lot on map entitled "Map of HIGH FARMS Kelly Road South v-1,ndsor, ofirl. Property of !-'dwardi, Joseph. & Vvill iam Kelly Subdividers Robert Storje. to Jack Goldberg Scale Ill = 501 April 61 lQ51, lia-yacz, T , . . (,I iswo If! 1c,63 to sllk)w change oj� b -.Iu Sheet I of 2 Rev. Jan. Scale 1" = . 501 g lin e s 11 HAYDEN L. (;.F tit,