HomeMy WebLinkAbout1964-8-7 - 226 Beelzebub Road - 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. p r 15-4 �
TO THE BUILDING DEPARTMENT: Date [3 7 19
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted: Coat/-/-r ✓ardD
1. Owner of Property J _ _Address of Owner
Z ze— L
2. Location of Property 6!J Lot, Nn
3. Type of Structure _ �'f i __ No. of Bedrooms
(Dwelling, Co ercial Building, Store. etc.)
4. Number of Families or Persons to Occupy Premises---A/Ye—
5. Plumbing Fixtures: Water Closets _ Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank Material of Septic Tank
7. Soil Conditions: Type of Soil O c-JeI& aximum ground water table
(So
ravel. Clay, etc-)
8. If not served by public water supply: Distance from Owner's well Lld�i�G • from adjacent wells �D1ele
9. Distance to nearest water course, drainage ditch, storm drain or embankment Z�z
10. Percolation Tests: Time for 1" drop in soil test S6 e22%w Classification of soi
11. Minimum square feet of effective seepage area require 40 S ,
12. Leaching System: Number of trenches_ Length Width Total
Other _
Signature ak�a�
(IAcensed InstallefF
(Sketch showing all minimum distances and other details required below)
Permit Issucd _ _ 19_ _ _ By
Installation Completed, Inspected and Approved 19 By
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Scale: / "_ -40 ' Dated: /o — zo
By
JOHN J. MOZZOCHI and ASSOCIATES
CONSULTING ENGINEERS
GLASTONBURY, CONN.
Filed- in Town Clerk's Office Ar
NO ZONING VIOLATIONS.
CERTIFIED SUBS
NTTI`ALLY CORRECT
1
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BEL Z EBUB ROAD
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E etM COVS7RC/C77/0" CO•
Sour/_-/ av,f'�IDSo.Ilz. m,v,kl.
JOHN J. MOZZOCHI & ASSOCIATES
CIVIL ENGINEERS
GLASTONBURY, CONN.
SCALE- / "= -40' DAT E--- 7- /- 64
G4 -1-7 C55-8.5