HomeMy WebLinkAboutSeptic New 160 Valley View Drive 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
/mod
And located at Vim' aw
To be built by of
in accordance with detailed information stated below.
Signed
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(Applicant)
GENERAL INFORMATION
I . Estimated population of premises (present) (future)
2. Description of premises (including number of bedrooms)_ a pJ
No. Fixtures
(Above basement): Water Closets 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
(Pumps , tank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata GY lz_ 64.
(sand, loam, clay , hardpan, rock, et . --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 �d0 q2y- e
Inlet and outlet arrangements
Facilities for cleaning Distance from dwellings on same
property /0 , on adjoining property
Automatic Dosing Apparatus , if any (describe)
Soil Absorption System
If cesspools , No. diameter ft.; depth below inlet ft.
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If the field or leaching trenches , total length is eft.
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Width of trenches 02. ft. , depth of broken stone or screened gravel
Stone or gravel will be covered bye . Distance between
(Lar pap(f , 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 A���
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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PROP1ERTY OF °{
NO. VALLEY VIEW DRIVE SOUTH WINDSOR, CDNN.
Being Lot No. 57 on map entitled "Map of VALLEY VIEW FARMS Ellington
Road South Windsor, Conn . Property of Emma Palmer Kenneth Palmer
Scale 1 " 80 ' Nov. 1 , 1960 Hayden L. Griswold C.F."
Scale 1 " 50
HAYDEN L. GRISWOLD C .E .
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