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Septic New 670 Avery Street
FEE TO THE BUILDING DEPARTMENT Application No. TOWN OF SOUTH WINDSOR Date _Z —� I hereby apply for permit to build a sewage disposal system for a (Residence , boarding house , hotel, etc.) , Owned byrri �,,,�, of C�.p � c 6�O And located � I To be built by of azeZ4 war in accordance with detailed information stated below, Signed _4ft)1--) (Applicant) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENERAL INFORMATION I Estimated population of premises (present) (future) 2. Description of premises (including number of bedrooms) /AztGC�Gba-,�.v�0' No. Fixtures (Above basement): Water Closets Urinals Lavatories Bath tubs / Showers j Kitchen Sinks Laundry Tubs Garbage Grinder List basement fixtures 3. Water Supply 4 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 (sand—, oam, cl ardpan, rock, e c. --Use test PAS. . 5. Elevation of highest ground water V of (with re rence to both present & future grade) 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 Dimensions Capacity below flow line %Z.S® Inlet and outlet arrangements Facilities for cleaning C ,4j Distance from dwellings on same property�O�„ 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 go O ft. Width of trenches o"2 ft. , depth of broken stone or screened gravel ft. Stone or gravel will be covered by - Distance between c-' lusapaper, salt hay) trenches d ft. Distance from water supply on same property %D 1�• on adjoining property /4 �• Secondary Treatment, if other than soil absorptions. Describe in detail and locate on map- /���--t� /'�a- .�- System was designed by Above information furnished by , No discharge of sewage or sewage effluent into a y watercourse should be permitted without approval of the State Department of Health and State Water Commission. s ��,"S+tifR}`; ^N�'''',a'°Y'�? � �`ci?"eh'4"R�.�"•'�S"t t�� a s:'� }y ... - S MA 3 P it E Ditty"Al ' /" n a + f f I _S l "R� y701 40 > r tr . AVM E .� 3 PROPERTY or: F` VOL Avery Street soutu .Winc�iar,� #� Being Lot No. 107 on map entitled "Map of WOODLAND ACM A<< Avery Street «- South. Windsor, Conn. Property of AmeIla 901azie ` Developer William Peak., Scale 1" 610 Apr. la, 1989 Hayden �,, `•� Griswold C.E. " Sheet 1 of 2 �. ' Scale 14 r % � �`�44, r' . .�.a ., . . ' .. '� r ©� � r G�j ' ,. � - l i �� � �,..,..� �.,_.-. �� '� �- r:, iev;' e ,