HomeMy WebLinkAboutSeptic New 66 Deepwood Drive FEE
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date G — ZY -�
I hereby apply for permit to build a sewage disposal system for a
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(Residence , boarding house, hotel, etc.)
Owned by (��.{- Cyr r/,�2 of
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And located ato- s/
To be built by of , A-fQ
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in accordance with detailed information stated below.
Signed U
(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 Laundry Tubs
Garbage Grinder List basement fixtures
3. Water Supply Kind of Well
(Public, n ,
Location of well and underground water p p ng
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, loam, clay , hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water
(with reference to both present & future grade)
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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 surface or round
g e water drains , wells and bodies of surface water.)
Septic Tank
Dimensions Capacity below flow line ! ,
Inlet and outlet arrangements
Facilities for cleanin,g,��2� Distance from dwellings on same
property on adjoining propert
Automatic Dosing Apparatus , if any (describe)
Soil Absorption System
If cesspools , No. diameter ft.; depth below inlet ft.
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If tile field or leaching trenches , total length is t.
Width of trenches ft. , depth of broken stone or screened gravel-4�fL ft.
Stone or gravel will be covered by Distance between
(tar p p salt hay)
trenches 41/ ft. Distance fr m water supply on same property
on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map 10L'x�
System was designed by �t
Above information furnished by
No discharge of sewage or sewage effluen into any watercou a should be permitted
without approval of the State Department of Health and State Water Commission.
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PROPERTY OF Er
NO DEEP1400D DRIVE SOUTH WINDSOR, CONN. � .
Being Lot No. 51 on map entitled "BIRCH HILL 'ESTATES Foster Street
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South Windsor, Conn. Property of U & R Housing Corp. Scale 1" =loot
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Dates Jan. 21 , 1963 Hayden L. Griswold C.E."
Scale V 50 ,
HAYDEN L. GRISWOLD
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