HomeMy WebLinkAboutSeptic New 00 Ordway Drive (6) / .0
FEE
TO THE BUILDING DEPARTMENT Application No. --liz-4
TOWN OF SOUTH WINDSOR Date
I hereby apply for permit to build a sewage disposal system for a
(Rest ence , boarding house, hotel, etc.)
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Owned by of
And located a - �� , /
To be built by ��Pof
in accordance with detailed information stated below.
Signed —,�d� �,
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
I . Estimated population of premises (present) (future)
2, Description of premises (including number of bedrooms)
No. Fixtures
(Above basement): Water Closets '7i Urinals Lavatories
Bath tubs _Showers _Kitchen Sinks _Laundry Tubs
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 i �-
(Pumps , tank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata � � � L�'ss �„A/ l ''
(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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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 K Capacity below flow line
Inlet and outlet arrangementsAr���s
l 6/ItA �t
Facilities for cleanings Oo v£iZ Distance from dwellings on same
property_�n / , on adjoining property_-
Automatic Dosing Apparatus ; if any (describe) ✓G�C��
Soil Absorption System qy
If cesspools , No. �W C diameter ft.; depth below inlet ft.
If tile field or leaching trenches , total length is ft.
Width of trenches '�L- ft. , depth of broken stone or screened gravel ft.
Stone or gravel will be covered by ;i �!(� 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. D
Describe in detail and locate on map
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.
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5314
PROPERTY 01'
NO . ORDWAY DRIVE SOUT}i i,'INDSOR , COON .
Being Lot No . 9 on neap entitled : " \'ap of Pleasant View , Property
of James Milkie , Ellington Rd , , South Vindsor, Coin . Scale 1" = 401
Mar . 10 , 1962 , Hayden L. .riswolo , C . 11; . "
Scale 1 " = 40 '
HAYDEN L . GRISWOL.D, C . E,
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