HomeMy WebLinkAboutSeptic New 213 Kelly Road TOWN OF SOUTH WI N DSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application N
TO THE BUILDING DEPARTMENT: Date lg
A permit i requested for repair or construction of an individual sewage disp system concerning which the
following informatio i o as submitted: 4A/�
r!lII49M�4Ao Te�e4!
1. Owner of Proper,,, Address of Owner
2. Location of Property 2.13 Lot. No. -3 9
3. Type of Structure f No. of Bedrooms
(Dwelling,Commer al wilding,Stor etc.) c
4. Number of Families or Persons to Occupy Premises
5. Plumbing Fixtures: Water Closets -Z Urinals La ories Bathtubs_��_
Showers_L_ Kitchen Sinks Laundry Tubs Garbage Grinder Other
f�
6. Liquid Capacity of Septic Tan dl` Material of Septic Tank C&�Ef Lfl�
7. Soil Conditions: Type of Soil Maximum ground water table
(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 2 Length Width_ Total /
Other '
Signature
(License tis er)
(Sketch showing all minimum distances and other details required below)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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NO . KLLLY [LOAD 3 0 VTH WI:M).i011, CONK , ,
3eing. Lot Nc . 39 on ;iap entit3.ed "'„a,, o !'IGII x'1tM3 F;,! lly Roast
South Windsor, Conn . Property of Edvard, Joseph iam Kelly
Subdividers Robert. Stone Jack Goldberg Scp le 1 " 5.', -, ril (,, 1959
Hayden i_ , Griswold C .F . Sheet 1 of '2
Scale 1 " - SQ ,
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HAYAI.N L. GRIS';OLD C .
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