HomeMy WebLinkAbout1963-7-22 - 159 Kelly Road - Septic ApplicationI hereby apply for permit to build a sewage disposal system for a
/77€‘(/J€WC e c5311 ff v.)k
gj,”thaw (Residence ,boarding house,hotel ,etc.)
Ownedby of '7 3a i 5’6 ‘,
Andlocatedat%%/)/"7/€//M /?J
To be built by 6 @aYZ/A/Of %A/O/”I;
in accordance with detailed information stated below.
50x7%/7’/kgezv ////wr/A J
(Above basement):Water Closets l Urinals Lavatories
Bath tubs Z Showers Kitchen Sinks l Laundry Tubs
Garbage Grinder/7Jp7¢List basement fixtures ‘
3 .Water Supply /%/4A ;Kind of Well
(Public,well ,spring ,cistern)
Location of well and underground water piping
No.Fixtures
I
Method of obtaining or storing supply
(Pumps ,tank ,etc.)
4.Character of soil at proposed location of leaching system,including depths of
various strata /4 L 74 /7/3 Ve
(sand/loam clay hardpan rock etc ——Use test pits )
5.Elevation of highest ground water 56.aa//.3—l
(with reference to both present &future grade)
A
FEE
TO THE BUILDING DEPARTMENT Application NO.391
TOWN OF SOUTH WINDSOR Date ’7 ~Z Z ‘é3
GENERAL INFORMATION ‘”n
l .Estimated population of premises (present)(future)5
2.Description of premises (including number of bedrooms)f e a J
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 /¢/z&o<c 5;wy7‘-
Dimensions Capacity below flow line /é’0aQGIQ:QM $77
Inlet and outlet arrangements m//
Facilities for cleaning /4%Distance from dwellings on same
property 7&"w Lam?”—,on adjoining property
Automatic Dosing Apparatus ,if any (describe)
Soil Absorption System
If cesspools ,No.;diameter ft.;depth below inlet ft.
If tile field or leaching trenches ,total length is /6.$’/ft.
Width of trenches 2 ’ft.,depth of broken stone or screened gravel /6 "ft.
Stone or gravel will be covered by W '.Distance between
(tar pa 'er,/salt hay)trenches é /c ,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 M/;/%¢g -/
System was designed by _/9%é Mk k WW
Above information furnished by é?/7i /§a.x ‘7
No discharge of sewage or sewage effluent into any watercourse should be permittedwithoutapprovaloftheStateDepartmentofHealthandStateWaterCommission.