HomeMy WebLinkAboutSeptic Repair 60 Laurel Street I '
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FEE
TO THE BUILDING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date 7 �S
I hereby apply for permit to build a sewage disposal system for a
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(Residence , boarding house , hotel, etc.)
Owned by �'� 5 � ���idct of �/���iiL��z C_ c /V
And located at �-
To be built by of
in accordance with detailed information stated below. 7
Signed
/ (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 N0 Lavatories -
Bath tubs Showers l Kitchen Sinks Laundry Tubs
Garbage Grinder --- List basement fixtures
3. Water Supply � �_-- Kind of Well /2i�;'�i y•��
(Public, well, spring , cistern)
Location of well and underground water piping AC/Ci-1 -- er C,s,�
Method of obtaining or storing supply ;C.
(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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