HomeMy WebLinkAboutSeptic New 121 Bourbon Street e � y
ao,
, 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
L 07'/yi► A A- V &
(Residence , boarding house, hotel, etc.)
Owned by '4 of 2 0*,, a S','__.0A+l/�'e o
And located at a 4�
To be built by 4a5A,de a of ��,q_ ,�.M,A� F Pam°a/
h►�j1 p �orir�►
in accordance with detailed information stated below.
Signed
(Applicant)
. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
GENERAL INFORMATION
1 . Estimated population of premises (present) (future)_ t?
2. Description of premises (including number of bedrooms) 3 �g
4 �At i ZO,O(A-A-- k!
OF
No. Fixtures
(Above basement): Water Closets Urinals Lavatories /
Bath tubs -/-Showers _Kitchen Sinks _Laundry Tubs
Garbage Grinder List basement fixtures
3. Water-Supply &Z- Kind of Well_adt'&A
(Public, well , spring, cistern)
Location of well and underground water piping��' ,& �iPe,er a it
Method of obtaining or storing supply sdr
,t (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)
k s''"3?TrE�:.�..65: a:� 4`� + ' .:`tic : ? a -�" a i::� <n; w w ;�;;..
Lot nwnbers refer to maP ent3.tl(!d 'tSubdi:'vis.ion Map, l Sta'teS i'r4�
��ui df3Xs, lac.P Foster St,, Safe Windsor" ConJl, , scale f) 401P Api'11 lc}� �`#�jC�# {e�t��
Su s Antl4l Ly Orreet, ►°Morton b. nee,
N !' t-f. t$ L. N A P
/./g. 77
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