HomeMy WebLinkAboutSeptic Repair 00 Woodside Drive (10) FEE
TO THE BUILDING DEPARTMENT Application No. ���
TOWN OF SOUTH WINDSOR Date 6--Z9
I hereby apply for permit to build a sewage disposal system for a
t�
(Residence , boarding house, hotel , etc.)
Owned by 17R S (`(\ k C� of
And located at ` )
To be built by .7 Y-�, b,r. S YY� k E of
in accordance with detailed information stated below.
Signed
(Applicant)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GENERAL INFORMATION
1 . Estimated population of premises (present) y (future)
2. Description of premises (including number of bedrooms) �o 4
t I?
No. Fixtures
(Above basement): Water Closets Urinals Lavatories
Bath tubs Showers ( Kitchen Sinks Laundry Tubs
Garbage Grinder List basement fixtures .ram s 0 IZ
3. Water Supply t Kind of Well
Public I well , spring, cistern)
Location of well and underground water piping Ct o
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 r4120UJ
Dimensions Capacity below flow line L
Inlet and outlet arrangements
Facilities for cleaning``L-" Distance from dwellings on same
property /0� ,i 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 /-J-V ft.
Width of trenches ft. , depth of broken stone or screened gravel ft.
Stone or gravel will be covered by PA Distance between
(tar paper, salt hay)'
trenches ft. Distance from water supply on same property�'-)J �
` O l-� . on adjoining property
Secondary Treatment, if other than soil absorption.
Describe in detail and locate on map
System was designed by �r 4--% sZ
Above information furnished
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.
F . .
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yd
1,44
FOR BUILDING PUR� '94NLY
('A
PROPERTY OF
NO . WOODSIDE DRIVE. SOUTH WINDSOR, CONN .
Being Lot No . 12 on map entitled "Map of WOODSIDE Pleasant Valley
Road South k'indsor, Conn . Property of Jamcs Milkie Scale : 1" = 401
September 8, 1962 Hayden L. Griswold C .B."
Scale 1" = 40
11:1YDRN L. GRI'7`'lgL1) C .E .