HomeMy WebLinkAboutSeptic New 230 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 J. � er / _// 19—L?
i
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,DF koh�c f 4 l-/ Address of Owner &c/ PQ/
2. Location of Property C-B �^ /e e I^ ,+ ( !//u f 0 Cc S T— Lot. No.
3. Type of Structure__ ,I2 'T �$A No. of Bedrooms_
(Dwelling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets Urinals b Lavatories�� Bathtubs
Showers rr Kitchen Sinks_ _ Laundry Tubs_ Garbage Grinder_ Other_ o
Q. Liquid Capacity of Septic Tan O Material of Septic Tank C O /✓'C re YP
7. Soil Conditions: Type of Soil P Maximum ground water table=f�
(Band,Gravel,Clay,etc.) /
8. If not served by public water supply: Distance from Owner's well 0, G from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment : /O O d
10. Percolation Tests: Time for 1" drop in soil test /iY Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches_ Length O b Width a �� Total YDD S� /
-
Other
Signature.�JVGI'a-»,
(Licensed Installer)
(Sketch g all minimum distances and other details required below)
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
Application No.
TO THE BUILDING DEPARTMENT: Date
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:
i 1
1. Owner of Property Address of Owner=30 i� _.: v r
2. Location of Property r r Lot. No.
3. Type of Structure No. of Bedrooms_
( welling,Commercial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_ !D
5. Plumbing Fixtures: Water Closets Urinals Lavatories "` Bathtubs f
+ ,Showers 1 Kitchen Sinks, Laundry Tubs it GarbageGrinder Other r)
6. Liquid Capacity of Septic Tank Material of Septic Tank r, p " C, V.
7. Soil Conditions: Type of Soil ( >j R V YI 12 Maximum ground water table
(Sand,Gravel,Clay,etc.
8. If not served by public water supply: Distance from Owner's well 0 ':a r_ 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 i
12. Leaching System: Number of trenches _ Length CJ Width 7 J r Total
Other r'''�► 0- CG es [ `! a} r. : ; o t
Signature 1 J'.•�°�� �� �.�a as a�.
(Licensed Installer)
(Sketch showing all minimum distances and other details required below)
9
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Permit Issued 19 By
Installation Completed, Inspected and Approved 19_ By
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A -e43°41'So"
Lot Nim,bers Refk.r to Map Titled I
CrE�Ec_c>t'r: F_ ; i_ot-IT"t= I;oiCA(;J
I !'Jt;f-'�., i�.JC.• .:.c:.ii.i W{rJG ,oiZi
y� I i�rf i oovf, cit:':ti
I ,i!�L.,,t ,�v COL/ri r l�f�♦/ 'c,�' `_ ''.) /��,;
JOHN J. MOZZOCNI & ASSOCIATES
f'o. <.. �t,,,; �� �n�', C •'��� �- CIVIL ENGINEERS
GLASTONBURY, CONN.
NO ZONING VIOLATIONS.
CERTIFIED SUBSTANTIALLY CORRECT. SCALE--- f ��� DATE--- /G 2 '62