HomeMy WebLinkAboutSeptic New 169 Kelly Road ' FEE
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date
I hereby apply for permit to build a sewage disposal system for a
51 Ole kiC' e,
(Residence , boarding house , hotel , etc.)
Owned by of / .v
And located at o * 16Ej
To be built by (ST, 40,al1110V of
in accordance with detailed information stated below.
Signed , 6o�yy�
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) /3 (future) S
2. Description of premises (including number of bedrooms) ye-
No. Fixtures
(Above basement): Water Closets Lavatories
Lavatories
Bath tubs-_Showers Kitchen Sinks_ aundry Tubs
Garbage Grinder/7GYI e— List basement fixtures
3. Water Supply Kind of Well
(Public, well, spring, cistern)
Location of well and underground water piping
Method of obtaining or storing supply
(pumps , tank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
N
various strata Gr ye-
(sand, 166m, clay , hardpan, rock, etc. --Use test pits.)
l
5. Elevation of highest ground water_ �2
(with reference to both present & future grade)
Description of proposed system (Furnish drawings of same , with plot plan showing
system including location, size , grade and material of house sewer and locations
of ground or surface water drains , wells and bodies of surface water.)
Septic Tank
Dimensions Capacity below flow line /�� • C'awt. �T
Inlet and outlet arrangements
Facilities for cleaning Zt4?7&�_Distance from dwellings on same
property I'L�' J. on adjoining property 70
Automatic Dosing Apparatus , if any (describe)
Soil Absorption System
If cesspools , No. diameter ft.; depth below inlet ft.
If tile field or leaching trenches , total length is /,SZ ` ft.
Width of trenches Z ft. , depth of broken stone or screened gravel /� ft.
Stone or gravel will be covered by _„�� Distance between
(tar p4eK, salt hay)
trenches lc=±Nr , ft. Distance from water supply on same property
on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
v
System was designed by
Above information furnished by t1_1 /
No discharge of sewage or sewage effluent into any watercourse should be permitted
without approval of the State Department of Health and State Water Commission.
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PROPERTY OF
N0. KELLY ROAD SOUTH WINDSOR,CONK . ;.
Being Lot No . 2 oh map entitled "Map of HIGH FARMS Kelly Road
South Windsor, Conn. Property of Edward, Joseph William Kelly
Subdividers Robert Stone 6+ Jack Goldberg Scale 1 " = 501
April G, 1959 Hayden L. Griswold Sheet 1 of 2"
Scale 1" _ 50
HAYDEN L. GRISWOLD C .B,
TOWN OF SOUTH WI N DSOR '
BUILDING DEPARTMENT �� �p
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Applicati n 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 su mitted:
1. Owner of Property N9 Address of Owner �L
2. Location of Property r4llrt Lot. No.
3. Type of Structure � � L C--
s_
(Dwelling,Commercial Building,Store,etc.) No. of Bedroom
4. Number of Families or Persons to Occu y Premises_
5. Plumbing Fixtures: Water Closets Urinals Lavatories Bathtubs_/—
Showers Kitchen Sinks_02 La dry Tubs Garbage Grinder OtherL �
6. Liquid Capacity of Septic Tan �'° Material of Septic Tank Gt ils'a —�--
7. Soil Conditions: Type of Soil -J L4-`r`� Maximum ground water table
(Sand, 'i vel,Cl y,etc.)
8. If not served by public water supply: Distance from Owner's wel 81 1C from adjacent wells
9. Distance to nearest water course, drainage ditch, sto m r or embankment ^�
10. Percolation Tests: Time for 1" drop in soil test +Classification of soil �Q'0
11. Minimum square feet of effective seepage area required r �r
12. Leaching System: Number of trenches Length �J �if J Width, Total O " ex
Other Cl(—
Signature
( i ensed Insta ler-
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved —19— By