HomeMy WebLinkAboutSeptic Repair 90 Valley View Drive FEE
TO THE BUILDING DEPARTMENT Application No. l�
TOWN OF SOUTH WINDSOR Date_���/ _Z z
I hereby apply for permit to build a sewage disposal system for a
✓ A,
(Residence , boarding house, hotel , etc.)
Owned by of
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And located at
To be built by of
in accordance with detailed information stated below.
Signed �,___V
(Applicant)
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GENERAL INFORMATION
1 . Estimated population'of premises (present)_ y/ (future)
2. Description of premises (including number of bedrooms) �?
No. Fixtures
(Above basement): Water Closets Z Urinals Lavatories i
Bath tubs-Showers _Kitchen Sinks_ _Laundry Tubs_ /
Garbage Grinder List basement fixtures
3. Water Supply - Kind of Well
(Publ , well, spring, cistern)
4ocation 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, loa , clay, (rdpan, rock, eV. --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 44 Capacity below flow line
Inlet and outlet arrangements
Facilities for cleaning .z.� ,�, Distance from dwellings on same
property ) on adjoining property
Automatic Dosing Apparatus , if any (describe)
Soil Absorption System
If cesspools , No. diameter ft.; depth below inlet ft.
I9L
If tile field or leaching trenches , total length is ,C6 ' ft.
Width of trenches _ft. , depth of broken stone or screened gravel
Stone or gravel will be covered by . Distance between
(tar paper, salt h y)
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
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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P�R�pSE�d��i
®� B040 PE R TY OF
NO. VALLEY VIEW DRIVE SOUTH WINDSOR, CONN. �
Being Lot No. 63 on map entitled "Map of VALLEY VIEW FARMS Ellington
Road .South Windsor, Conn. Property of Emma Palmer & Kenneth Palmer
Sc4je 1" = 80 , Nov. 1 , 1960 Hayden L. Griswold E .E."
Scale 1 " = 501
HAYDEN L. GRISWOLD C.E.