HomeMy WebLinkAboutSeptic New 223 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 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:
1. Owner of Property Address of Owner �7
2. Location of Proper Lot. No.
3. Type of Structure No. of Bedrooms
(D lling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals U Lavatories Bathtubs
Showers U Kitchen Sinks / a CJ dry Tubs b Garbage Grinder U Other �
6. Liquid Capacity of Septic Tank Material of Septic Tank ��G2J�Cz-
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 11-? Length � ��� Width Total
Other
Signature �+`�
(Licensed Installer)
(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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PROPERTY OF
NO . KI:LLY ROAD SOUTH W1NDSORY t;OINN' .
Being Lot No . 38 on snap entitled I'Map of HIG,i FARMS Kelly Road
South tvindsor, Conn . Propertk- of F;dward , Joseph t+ W i l Liam Kelly
.Subdividers Robert Stone rY Jack Goldberg Scale 1 " _- 50 '
:April 6, 1959 Havden L . 6ritit,ol.d C . a Sheet 1 of 2"
Scale 1 " 5,0 '
H1Y1;t; L . GRISWOLD C E .
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PROPERTY OF
NO . KELLY ROAD SOUTH WINDSOR, CONN .
Beim Lot No . 38 on map entitled "Map of HIGH FARMS Kelly Road
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South Windsor, Conn . Property of Fdward, Joseph & William Kelly
Subdividers Robert Stone & Jack Goldberg Scale 1 " 50 '
April 6, 1959 Hayden L. Griswold C. E. Sheet 1 of 2"
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Scale 11' = 501
HAYDEN L. GRISWOLD C E.
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