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HomeMy WebLinkAbout1963-7-22 - 20 Diane Drive - Septic ApplicationFEE TO THE BUILDING DEPARTMENT TOWN OF SOUTH WINDSOR Application No.�'� Date 7-20-4-1 I hereby apply for permit to build a sewage disposal system for a /Pe C e (Residence, boarding house, hotel, etc.) Owned by /'7I yr• of / 0� And located at 9 To be built by !1 i` of in accordance with detailed information stated below. (Applicant) GENERAL INFORMATION 1. Estimated population of premises (present) 0 (future) 2. Description of premises (including number of bedrooms)_ r e e /. o C> re- 2 r No. Fixtures (Above basement): Water Closets/ Urinals Lavatories Bath tubs. Showers Kitchen Sinksaundry Tubs Garbage Grinder 1i6 7i `List basement fixtures 3. Water Supply / !/!O // G Kind of Well (Public, 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 , cfay, , 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 c Inlet and outlet arrangements Facilities for cleaning Distance from dwellings on same property on adjoining property___ Automatic Dosing Apparatus, if any (describe) Soil Absorption Svstem If cesspools, No. diameter ft.; depth below inlet ft. If tile field or leaching trenches , total length is ft. Width of trenches __ ft. , depth of broken stone or screened gravel, ft. Stone or gravel will be covered by u:.L I , Distance between (tar pa er, salt hay) trenches_ ft. Distance from water supply on same property 'r on adjoining property Secondary Treatment, if other than soil absorption. Describe in detail and locate on neap 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. C) -�- ��r� c�G 5 4 �t Q N Y O v FOR BUILDING PURPOSES ONLY C� f I 41 1DI Ati E � R.IVF- PROPERTY OF NO. DIANE DRIVE SOUTH WIdDSOR, CONN. Being Lot No. 4 on map entitled "Map of HIGH FARMS Kelly Road South Windsor, Conn. Property of Edward, Joseph 6 William Kelly Subdividers Robert Stone & Jack Goldberg Scale 1" = 50' April G, 1959 Hayden L. Griswold Sheet 1 of 2" Sce4le 1" - 501 :�ri<. / 3vi i5'G.3 HAYDEN L. GRISWOLD G.E. 0-01 s-f e I v 9 A.� i