HomeMy WebLinkAboutSeptic New 130 Valley View Drive w
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 - of
And located at C>
To be built b 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)
No. Fixtures
(Above basement): Water Closets_ —/ Urinals Lavatories
Bath tubs / Showers--,/ _Kitchen Sinks--L—Laundry Tubs
Garbage Grinder List basement fixtures
3. Water Supply /f ,!.cti--C.c--r 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 strata �`�
(sand, loanl, clay , hardpan, rock, etc. 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 Capacity below flow line , (t 007
Inlet and outlet arrangements IV
Facilities for cleaning 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.
If tile field or leaching trenches , total length is ft.
Width of trenches eft. , depth of broken stone or screened gravel
Stone or gravel will be covered. by . Distance between
(# paper, 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
System was designed by___/;�� �� I I lot
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.
Aim
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PROPERTY OF
NO. VALLEY VIEW DRIVI: SOUTH IJINDSOR, CON .
Being Lot No. 60 on map entitled "Map of VALLEY VIEW FARMS Ellington
Road South Windsor, Conti. Property of Emma Palmer & Kenneth Palmer
Scale 1 " = 80 ' Nov. 1 , 1960 Hayden L. Griswold C .E. "
Scale 1 " = 5o ° ic.
� � ��• � ` J HAYDEN L. GRISWOLD C .E.
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