HomeMy WebLinkAboutSeptic New 180 Northview Drive FEE
TO THE BUILDING DEPARTMENT Application No. 1�
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 ) r l i i Alt. t e` of L> i �% u / r':, ,. ��F' r✓�;�t r
And located at�� ��%1 �% V c� << <% F << 9 1 .
To be built by i.`,l <<(• 6 1-.' <•,r-• ,/ / �r s' r 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)
3 1 ,
No. Fixtures
(Above basement): Water Closets 6 Urinals Lavatories 1�
Bath tubs l Showers_ Kitchen Sinks_ aundry Tubs
Garbage Grinder List basement fixtures
F
3. Water Supply /�G= �r �i (_- Kind of Well
(Public, well , spring, cistern)
Location of well and underground water piping
Method of obtaining or storing supply
(Pumps , tank, etc.) r
4. Character of soil at proposed location of leaching system, including depths of
various strata C
(sand, loam, clay , hardpan, rock, etc. --Use test pits.)
5. Elevation of highest ground water
(with reference to both present & future grade)
1 0
PRIMUS & WELTI ENGINEERS
Glastonbury, Conn.
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FOUNDATION CHECKED
DATE SCALE (0 CERTIFIED SUBSTANTIALLY CORRECT
SIGNED DATE (0 Z-� ! �� �' SIGNED