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HomeMy WebLinkAboutSeptic New 114 Deepwood Drive 1 FEE TO THE BUILDING DEPARTMENT Application No. �� TOWN OF SOUTH WINDSOR Date I hereby apply for permit to build a sewage disposal system for a (Residence , boarding house , hotel , etc.) Owned by 1e off C And located a //4- 1 To be built by VaV of in accordance with detailed information stated below. Signed 6�� Applicant) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENERAL INFORMATION 1 . Estimated population of premises (present) (future) 2. Description of premises (including number of bedrooms) No. Fixtures / (Above basement): Water Closets 1 Urinals Lavatories r Bath tubs Showers / Kitchen Sinks_ / Laundry Tubs f 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 -- - l an d, oam, clay, h_ardpan_, -rock_,_et --- - - - --Use test_pity O - 5. Elevation of highest ground water - (witTf refererke 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 t Dimensions Capacity below flow line &O C ' Inlet and outlet arrangements Facilities for cleaning Distance from dwellings on same property /d :rn,•.w 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 ft: Width of trenches -ft. depth of broken stone or screened gravel......61-- ft. Stone or gravel will be covered by Distance between s Alt hay) trenches 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 System was designed by Above information furnished by Y No discharge of.s'ewage or sewage effluent into any watercour`s should be p 7 itted without a p approval of the Stafe Department of Health and State Water Commi ion. - . rc ryf Old 1 � FO BUILDING PUR$OSES ONO 171 S ' ilfif1ilfyell, r 0" tAf NIL 536 : > fµ J a PROPERTY OF _ �,�: � ►� Colo. �. 1!�4. DEPPW00D DRIVE SOUTH WINDSOR, CONN . Being Lot No. 56 on map entitled "BIRCH HILL. ESTATES Foster Street South Windsor, Conn . Property of U R Housing Corp. Scale 1 " 1001 Dates Jan. 21 , 1963 Hayden Le Griswold C .F." Scale 1" 401 1 0 P �- IJ n -,•v _ HAYDEN L. GR1S#�OLD C.E . -