HomeMy WebLinkAboutDrain Layers Permit 122 Pine Knob Drive ' t90 pc
v ^ r
FEE
�v
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR
I hereby apply for permit to build a sewage disposal system for a
Rt&S W Loitt LEor4A b R. +JEQNA
(Res ence , boardijaq house , hotel , etc.)
Owned by y�� I-c�rtT;ni
And located at / ✓-emu /��y- ' ter v l�,r ��)
To be built by of y0�/ � 2� 1
in accordance with detailed information stated below.
Signed 'h
J. (Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
I . Estimated population of premises (present) (future)
2. Description of premises (including number of bedrooms)
No. Fixtures
(Above basement): , Water Closets Urinals Lavatories
Bath tubs % Showers / Kitchen Sinks l Laundry Tubs
Garbage Grinder List basement fixtures
3. Water Supply Kind of Well
(Public, well, spring , cistern)
Location of well and underground water piping
Method of obtaining or storing supply
(Pumps , tank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata v It— l/
(sand, loam, clay , hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water
(with reference to both present & future grade)
Gvj (,
N
j
1
4 y.�-ty `jj ..., 71R�F"I '� $ - '-Jt�Y f ra. � <I, ' ,♦k 3v ''�{.st \Ytigi} f .�
MM Y y
.110 Y a t
� •z t ry �t� 'v
V 7
Z+t
IV
ra ,fit * e d� sue•
y' S
0.17
FFFFF �y` Ay
�i
htHtb On
too Q,
fi
4
y il _ firt 7
st.A
K
S -'t 1 h ` y�iy�!'�'. t`4., �♦54� * , � g h "� �°. ♦,.tt�l
��� ��,,;♦ 4 e t�s.... a.'` sl .� � ���r u4 'h r ��W � t-•+rb Kra-`_ ��-i
� ♦� . a 3 t, i s.`y a �, h "3 . f ) l` r _ zt'S.♦4'F � •4 rl. "ii- �FN�/
r '.j?
C i j
A alv-
• Y
7- NO —
-Y' h
b
o ® �
s
6
J � J
,j.
1 �t
s
I
C�_