HomeMy WebLinkAboutSeptic New 11 Hazel Street FEE �
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Datez.-
I hereby apply for permit to build a sewage disposal system for a
(Resid nce, boarding house , hotel, etc.)
Owned by ®`� '�' �� - of
And located at _
To be built by /�(���%�� -.�"/ of
in accordance with detailed information stated below.
Signed kt
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) (future)
2. Description of premises (including number of bedrooms)
No. Fixtures 12
(Above basement): Water Closets Urinals Lavatories 2--
Bath tubs f Showers_�Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures
3. Water Supply Kind of Well
(Pul is, 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, loam, clay , hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water
(with reference 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 d0 Capacity below flow line
Inlet and outlet arrangements
Facilities for cleaning,? Distance from dwellings on same
property /, , on adjoining property
Automatic Dosing Apparatus , if any (describe) �J1Ile
Soil Absorption System
er --- ft.; depth-below inlet ft.
If tile field or leaching trenches , total length is to
Width of trenches-21"1 t. , depth of broken stone or screened gravel ft.
Stone or gravel will be covered by /cell Distance between
(tar paper, salt 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_ ILVIOti�/%1✓�
System was designed by
Above information furnished by
No discharge of sewage or sewage effluent into any watercourse should be permitted
without approval of the State Department of Health and State Water Commission.
Lot n -bers rvfoe to map. entjtlod, "Subdivision .lap ;raham Park, Property of Windsor
0onstruction G'orp.', Uraham & Hayes loads, So. Windsor, UOlin,, Scale 111 401 , November 28,
1960) Certified Substantially Correct, ?:orton S. mine,
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PROPOSED LAYOUT
DREW (C0XS41'11iUGT10N COU.
CONN i:A;�L '.IVy
ON S. 0�� SOUTH WI)VI)SOL, CO_`.iECTTC UT
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I hereby certify that this CIO � i
map is substantially correct
and no zoning regulations '�°• No. 2331 yo SCALE 1" -401 , OC1.16, 1961
have been violated. �,l ��� MORTON S. FINE, C.E.-L.S.
tom° LA sa HARTFORD, CONN.
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