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HomeMy WebLinkAboutSer Repair 55 Woodside 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 of -S And located at k n To be built by of �/�`.z ✓�S vim. in accordance with detailed information stated below. Signed f (Applicant) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENERAL INFORMATION 1 . Estimated population of premises (present) IYj/ (future) 2. Description of premises (including number of bedrooms) /�v © :-r. 57 �F /_0 1/00 J No. Fixtures (Above basement): Water Closets a- Urinals Q_ Lavatories Z Bath tubs Showers _Kitchen Sinks_ Laundry Tubs Garbage Grinder List basement fixtures ...f S T-1 C rZ 3. Water Supply ✓ Kind of Well (Public, well, spring, cistern) Location of well and underground water piping 7— 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 , hardpans 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 �Lq L Inlet and outlet arrangements fl 1= P L �. Facilities for cleaning Oy'A7i4norTANhDistance from dwellings on same property �� on adjoining property Automatic Dosing Apparatus , if any (describe) Soil Absorption System If cesspools , No. diameter ft.; depth below inlet ft. A67-- If tile field or leaching trenches , total length is 7 /V ft. Width of trenches_ t ft. , depth of broken stone or screened gravel ft. '-'7"rJr 40 £ �:) Stone or gravel will be covered by P(}Vc-' I" . Distance between (tar paper, salt hay) trenches ft. Distance from water supply on same property� Ic on adjoining property Secondary Treatment, if other than soil absorption. Describe in detail and locate on map System was designed by fl�' ki 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. 4syls.•�. y , <z� - .*w".�.+y-;iro "' ^".rF 7� 7 . -T-7t7*7' AG; �� 1 12, '. N , l a� Lot, G Q N, F ui��sii k 7% a:t Geri c,• �:r 1 41 /�.s`�, i '�.:"" •'.�` r ,.„r.. f;-'III !' _ �4A^'i -1 �, _ s s.. k y.r'`� >. ._ - .�. � � r,�, +�'`i �.''j� 1 /r :*�d...�, �'`"-. ,r'+ !, !,��i' sL•' .. :,�;�.�d'k .ter !/f`,,+r11'