HomeMy WebLinkAboutSeptic Repair 00 Woodside 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.)
Owned by ,i�,..�.a ,»2, offCL(.�.c�,- v�
And located at
To be built by of
^� „c.g
in accordance with detailed information stated below. -
Signed_4
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) (future)
2. Description of premises (including number of bedrooms) �4i-iya
No. Fixtures
(Above basement): Water Closets Urinals Lavatories /
Bath tubs _Showers Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures C.-/aju,
3. Water Supply Kind of Well
(Public, well, spring , cistern)
Location of well and underground water piping F-i'67it)
Method of obtaining or storing supply
(Pumps , tank, etc.)
4. Character of soil at proposed location of leaching system, including depths of
various strata ) / it1
san oam, c ay, ardpa ;-rock, etc __Use-test
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 ��� /9
Inlet and outlet arrangements ht,/`��,tS
Facilities for cleaningCEolf,,z 0Z f,-9�vk Distance from dwellings on same
property /D /f t" , 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 /d ft.
Width of trenches - ft. J. depth of broken stone or screened gravel / ft.
VOwfr i'l/t")
Stone or gravel will be covered by 21 Qt Distance between
(tar paper, salt hay)
trenches (' ,y,;�, , ft. Distance from water supply on same property -'�2fa, J,4t
Jo =T. ,'.r : ,�. ; on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map ( u k- i (No
System was designed by 6- (Z. c.
c
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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PROPERTY OF
WOODSIDE DRIVE SOUTH WINDSOR, CONN.
Being Lot No . 11 on map entitled "Map of WOODSIDE Pleasant Valley
Road South Windsor, Conn . Property of James idilkie % Scale 1" 401 }
September 8, 1962 Hayden L. Griswold C .E. "
Scale 1 " = 40 ' �A>�G 4� o7toa l�lo�j
HAYDEN L. GRISWOLD C.E.
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