HomeMy WebLinkAboutSeptic Repair 00 Woodside Drive (4) FEE
TO THE BUI1DING DEPARTMENT Application No.
TOWN OF SOUTH WINDSOR Date
I hereby apply for permit to build a sewage disposal system for a
1�
(Residence , boarding house, hotel , etc.)
Owned by of
And located atlar Z. — �eo��ipt i/Rf� S�,
To be built by 1`, <_'er /J� of
in accordance with detailed information stated below.
Signed
(Applicant)
. . . . . . . . . . . . . . .
GENERAL INFORMATION
I . Estimated population of premises (present) IV (future)
2. Description of premises (including number of bedrooms)
No. Fixtures
(Above basement): Water Closets_ _Urinals — Lavatories
Bath tubs- Showers_ _Kitchen Sinks _Laundry Tubs --
Garbage Grinder — List basement fixtures
3. Water Supply 42,� Kind of Well
(Vblic, 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, loam, 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
Inlet and outlet arrangements
Facilities for cleaningC ,,-7`F,-z,> .4,�K Distance from dwellings on same
property /O Er. 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
Width of trenches ft. , depth of broken stone or screened gravel / ft.
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Stone or gravel will be covered by r, fZ Distance between
(tar paper, salt hay)
trenches ft. Distance from water supply on same property Z;"'j3/,e
w41 /n fr. nr;,., on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map o
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�OPERTY OF
NO. WOODSIDF DRIVE SOUTH WINDSOR, CONN .
Being Lot No . 2 on map entitled "Ma.p of WOODSIDE Pleasant Valley
Road South Windsor, Coln . Property of James Millcie Scale 1 " = 401
September 8, 1962 Hayden L. Griswold C .F . "
Scale 1 " = 40
HAYDEN L. GRISWOLD C .E.
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