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HomeMy WebLinkAboutSeptic Repair 110 Valley View Drive r _ a FEE TO THE BUILDING DEPARTMENT Application No 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 l of /l© And located at To be built b of in accordance with detailed information stated Belo Signed Gc�wrr— (Applicant) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENERAL INFORMATION 1 . Estimated population of premises (present) (future) 2. Description of premises (including number of bedrooms)_ No. Fixtures (Above basement): Water Closets / Urinals Lavatories Bath tubs / _Showers Kitchen Sinks_ l 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 (Pumps , tank, etc.) 4. Character of soil at proposed location of leaching system, including depths of various strataG�C` / (sand, loam, clay, hardpan, r ck, etc. --Use test pits.) 5. Elevation of highest ground water (with reference to both present & future grade) ,r w, 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 Capacity below flow line Inlet and outlet arrangements . 'Te'V-C� . Facilities for cleaning Distance from dwellings on same !property OA , G on adjoining property Automatic Dosing Apparatus , if any (describe) -i�-� Soil Absorption System If cesspools , No. diameter ft;; depth below inlet ft. 3i7 , If tile field or leaching trenches , total length ism f ft. Width of trenches Z ' ft. , depth of broken stone or screened gravel /6" ft. Stone or gravel will be covered by 1 . Distance between der, 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-e4l System was designed by "may Above information furnished by /111 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. x FLU' a�;4r{rrt i ?�-� W a t:�'` ��C � ,F sr �} �i r� p '` K�i*, s '�✓- F "�' vs z r/»`�,'�C 'C *}� <g8 t `/ - ��Ura » � .r✓ �`SP.,�1 .s `; '.c y z , i[ � a�'�� s a �, � �` � $ + .tYa � } � �� ��-.��'�FY � �� � _ 1� �:•- Y � _ F /. MA IV 4 FOR g (11LDINt; PPWStS pryer PRO PwRtr njr 3 j YALL "# 1 DRE. 50U?M WI�D1R� CONN 04 ; oat i la i�a ; ciY ",iiAI�L$Y q: e� ARM 1-lift ton' B9ut1 i d94)r, C un. Praparty 'ot n T?A1>ner & ICanneth: Palmer BATBEAt L OltlS�TA rn,'C_34 Tk 4: -3y-� $ _K•e c_{.