HomeMy WebLinkAbout1965-7-8 - 170 Kelly Road - Septic ApplicationTOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
South Windsor,Connecticut 1 ""V
(Appiication for Permit to Install or Repair lndividual Sewage Disposal System r
Appllcatlon No
TO THE BUILDING DEPARTMENT:Date C(Z 2"f
19 ét
A permit is requested for repair or construction of an individual sewage disposal system concerning which the
following information is submitted:Ap4hw '‘3‘$u gag
mlW Address 0f OwnerMfPropertYjMrgr/nrx:1.Owner o
2.Location of Property ¢Milfj Lot.No.
3.Type of Structure L /No.of Bedroo s x:5;z
4.Number of Families or Persons to Occupy Premises f:¥%ft V(Dwelling Commerc1al Building Store etc)
5.Plumbing Fixtures:Water Closet .Urinals i Lavatories 1 Bathtubs g
I
Showers 'Kitchen Sink Laundry Tubs s
k t6.Liquid Capacity of Septic Tan
Garbage Grinder Other M”/H/;4E/(I.."T‘
aterial of Septic Tank 6f Ié/(KEW
'7.Soil Conditions:Type of Soil /J g f 41%L Max1mum ground water tabl
8.If not served by public water supply:Distance from Owner’s Well from adJacent wells //»/¢9 ff
9.Distance to nearest water course drainage ditch sto a1 or embankment f9
10.Percolation Tests Time for 1”drop in s011 test
S%e
(Sand Grivel Clay etc)W/
C1ass1ficat10n of 5011 £7 (/f/e'rfz g‘y
11.Minlmum square feet of effective seepage area required ga/ié 7(d ’9’
12.Leaching Sytern Number of trenches Length _é Wldth }Total [an
Other XYX'K 4 (9)}Qt'c/L Lt.(77f ¢&La({(60 {((‘J W/'«in
Z 1 f Mr:Signatur
g 2 M
(Sketch showing all minimum distances and other details required below)
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Permit Issued 19 By
l Installation Completed,Inspected and Approved §<(Ca/~34 19S“By