HomeMy WebLinkAboutSeptic New 190 Valley View Drive 9
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.)
P
Owned by of !?,ram
And located at
To be built by of ate.
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) 3
No. Fixtures
(Above basement); Water Closets J Urinals Lavatories
Bath tubs J Showers i Kitchen Sinks L_Laundry Tubs /
Garbage Grinder 4 ouF List basement fixtures
3. Water Supply Kind of Well
(Pu is, 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, aam c y hardpan rock, etc. --Use test pits.)
5. Elevation of highest ground water
(with reference to both present & future grade)
0
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 of v 7 i Capacity below flow line
Inlet and outlet arrangements <<�
Facilities for cleaning Distance from dwellings on same
property 16 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 4,P,5' ft.
Width of trenches _ft. , depth of broken stone or screened gravel / i_ ft.
Stone or gravel will be covered by _ istance between
(tar paper, salt h )
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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BUILDING PURPOSES ONLY
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PR 0 PF11%T Y OF
Net . VALLFIY VT>:.W IM'IVE T, Ivi):;Cf;, CONN .
tieing Lot No . 54 on map entitled "Tta of VALLEY VTEA, FA , F,11ington
Road South 'W indsor, Conn . Property of Emnia Palmer t+ Kenneth Palmer
Scale 1 " _= ROO Nov . 1 , ig60 Hayden L. Griswold
Scale: 1 " _ 501
NAYWi-q L. CF .
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