HomeMy WebLinkAboutSeptic New 21 Hazel Street FEE /p
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date C 5 -- � Z--
I hereby apply for permit to build a sewage disposal system for a
(Res ce , boarding house , hotel , etc.)
Owned by of '
2/
And located at j S"t�
To be built by of
in accordance with detailed information stated below.
Signed � ._ -�
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present)_ (future)
2. Description of premises (including number of bedrooms) --7
No. Fixtures
(Above basement): Water Closets Urinals Lavatories
Bath tubs- Showers_ Kitchen Sinks _Laundry Tubs _
Garbage Grinder List basement fixtures_yz A ,;, ti �ln
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
(sand, loam, clay , hardpan, r ck, 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 //Dd Capacity below flow line
Inlet and outlet arrangements �G
Facilities for cleaning Ole4l , r.�? stance from'dwellings on same
property ��� on adjoining property S�
Automatic Dosing Apparatus , if any (describe) /1/0 N�
Soil Absorption System
If�es-spools No. diam_et®r- ft.; de-th--beTow in of ft.
If tile field or leaching trenches , total length is 7 ft.
Width of trenches 24 ft. , depth of broken stone or screened gravel z ft.
Stone or gravel will be covered by 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 ;�/ I/iV
System was designed by u�
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.
a4z ncrosners refer to map entitled xSubdi sign Imp, Qrt Park, 'roperty o Windier
vonstruction Carp;i Oraham & ftye�s ROAds; $o Windsor, Conn. Soales le w 44t
1p60, Certified Substantially Corrects, Norton S. Fines,, c j .Is• y E�e ; � Hove r �'
4r
79 �
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( POR,MERLY MAPLE DRIVE
PROPWEb L.MUT
a CaMNfi DREW CONSTAtuTi oN COp.
HAM DRIVE
SOUTH WD=OR's CONNWTIG iTT
Vo
I hereby certify that this
map is substantially correct , No. 2s31 `
and;no zoning regulations y� SCALE la �• OCT-16 196 .
have been violated. t��D ► °� I#RTON,S. FINE G.S.-L,S.
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URTM80, CON .
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